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MADISON ROSE RANDAK
NPI 1417832254
Student in an Organized Health Care Education/Training Program in Monroe, LA

Active since August 11, 2025
4408 BON AIRE DR, MONROE, LA 71203(318) 342-7100 Get Directions Write a Review

NPPES record last updated: June 3, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 3, 2026, Aug 11, 2025 (2 updates tracked since 2025).

About Madison Rose Randak NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MADISON ROSE RANDAK (NPI 1417832254) is an individual student in an organized health care education/training program in Monroe, Louisiana, licensed in Texas (BP10099245) and active in the NPI registry since August 2025.

NPPES Registry Identity

NPI1417832254
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameMADISON ROSE RANDAK
Location Address4408 BON AIRE DRMonroe, LA 71203-3111
Mailing Address4408 Bon Aire DrMonroe, LA 71203-3111
Phone(318) 342-7100
Sole ProprietorYes
Enumeration DateAugust 11, 2025
Last NPPES UpdateJune 3, 20262 updates tracked since enumeration
NPPES CertifiedJune 3, 2026
✔ NPI 1417832254 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
License✔ Licensed in TX · BP10099245
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
4408 BON AIRE DR, Monroe, LA 71203
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Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JULIA ALICIA CORTEGUERA
Student in an Organized Health Care Education/Training Program
4408 BON AIRE DR
MONROE, LA 71203
Ouachita Parish (713) 449-2508
VIKTORIYA SALGALOVA
Student in an Organized Health Care Education/Training Program
4408 BON AIRE DR
MONROE, LA 71203
Ouachita Parish (318) 342-7100
MR. JOHN THEODORE WOESTE III
Student in an Organized Health Care Education/Training Program
4408 BON AIRE DR
MONROE, LA 71203
Ouachita Parish (318) 342-7100
ANNABEL OCONNOR
Student in an Organized Health Care Education/Training Program
4408 BON AIRE DR
MONROE, LA 71203
Ouachita Parish (301) 928-0203

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Madison Randak's NPI number?

The NPI number for Madison Randak is 1417832254. It was assigned to this individual provider in the NPPES registry on August 11, 2025.

Where is Madison Randak located?

Madison Randak practices at 4408 Bon Aire Dr, Monroe, LA 71203. The listed phone number is (318) 342-7100.

What is Madison Randak's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Madison Randak was last updated on June 3, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.