Active NPIIndividual provider

Courtneyanne Randall, PA-C

Physician Assistant in South Burlington, Vermont

NPI Number1225643547
Practice location
150 Kennedy Dr, South Burlington, VT 05403-6749
Fax
802-448-1414
Last updated
July 15, 2021

Courtneyanne Randall is a Physician Assistant based in South Burlington, VT. Courtneyanne Randall practices in South Burlington, VT and has the professional credentials of PA-C. The NPI Number for Courtneyanne Randall is 1225643547. The current practice location address for Courtneyanne Randall is 150 Kennedy Dr, South Burlington, VT 05403-6749 and can be reached out via phone at 802-448-9370 and via fax at 802-448-1414.

Provider Profile Details

NPI Number
1225643547
Provider Name
Courtneyanne Randall
Credential
PA-C
Provider Entity Type
Individual
Gender
Female
Address
150 Kennedy Dr, South Burlington, VT 05403-6749
Phone Number
802-448-9370
Fax Number
802-448-1414
Primary Taxonomy
Physician Assistant · 363A00000X
Sole Proprietor
No
Provider Enumeration Date
September 14, 2020
Last Update Date
July 15, 2021
Certification Date
July 15, 2021
NPI Status
Active

Provider Business Practice Location Address Details

Address
150 Kennedy Dr
South Burlington, VT 05403-6749
State
Vermont
Zip
05403-6749
Phone Number
802-448-9370
Fax Number
802-448-1414
South Burlington, VT 05403Get directions →

Provider Business Mailing Address Details

Address
150 Kennedy Dr
South Burlington, VT 05403-6749
City
South Burlington
State
VT
Zip
05403-6749
Phone Number
802-448-9370

License Information

Taxonomy
Physician Assistant · 363A00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Courtneyanne Randall, PA-C?

The NPI number of Courtneyanne Randall, PA-C is 1225643547. It was assigned on September 14, 2020 and is currently active in the NPPES registry.

What is the specialty of Courtneyanne Randall, PA-C?

Courtneyanne Randall, PA-C is registered under the primary taxonomy Physician Assistant (code 363A00000X).

Where does Courtneyanne Randall, PA-C practice?

The practice location is 150 Kennedy Dr, South Burlington, VT 05403-6749. The office can be reached at 802-448-9370 (phone) or 802-448-1414 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1225643547 directly on the NPPES registry website.

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