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Deactivated NPI 1043495112 Deactivated / Inactive NPI Female Practitioner

Amber Dawn Randolph , RN

Registered Nurse • Talbott, TN

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Amber Randolph has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date January 08, 2008
NPI Deactivation Date January 15, 2021
Total Practice Duration ~13 Years of Practice (2008 – 2021)

Professional Overview & Biography Verified Profile Summary

Amber Randolph, RN was a registered Registered Nurse practicing in Talbott, TN. Throughout an active medical career spanning 13 years, Amber Randolph provided care at the practice location at 7460 LEBANON CHURCH ROAD until profile deactivation on 2021-01-15.

Historical Medicare Part B clinical services included anesthesia for procedure on esophagus, stomach, and/or upper small bowel using an endoscope, anesthesia for procedure on large bowel using an endoscope, anesthesia for exam of colon using an endoscope. Public procedure reimbursement records and service volume details are provided below for historical transparency.

Practice Location & Contact Primary Location

Practice Address

7460 Lebanon Church Road

Talbott, TN 37877

Telephone 4234082826
Fax 4238392115

Specialty Benchmarks & Practice Insights

Comparative analytics for Registered Nurse in Talbott, TN

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 4.0 Yrs
Regional Practice Density
20 Specialists

Practicing in Talbott, TN (3394 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
84.3% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2020)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
00731 Anesthesia for procedure on esophagus, stomach, and/or upper small bowel using an endoscope
52 51 $712.70 $118.87
00811 Anesthesia for procedure on large bowel using an endoscope
46 46 $787.18 $116.49

Medical Specialties & State Licenses

Registered Nurse Primary Specialty

NUCC Taxonomy Code: 163W00000X

State License TN RN0000140858

(1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.'s assist patient in recovering and maintaining their physical or mental health. They assist physicians during treatments and examinations and administer medications. (2) A provider who is trained and educated in a formal nursing education program at an accredited school of nursing, passes a national certification examination, and is licensed by the state to practice nursing. The individual provides nursing services to patients or clients in areas such as health promotion, disease prevention, acute and chronic care and restoration and maintenance of health across the life span.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

2 Associated Practitioners
Ashley Davis , CRNA

Nurse Anesthetist, Certified Registered

NPI 1427243831

Certified Registered Nurse Anesthetist

Gary Harbin , CRNA

Nurse Anesthetist, Certified Registered

NPI 1508802638

Certified Registered Nurse Anesthetist

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated January 15, 2021

Record deactivated on January 15, 2021

NPI Profile Active January 23, 2013

NPI status registered as active in NPPES database

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Updated Practice Location January 23, 2013

Registered at 7460 LEBANON CHURCH ROAD, TALBOTT, TN 37877 (Tel: 4234082826)

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Updated Business Mailing Address January 23, 2013

Registered at 470 S CENTRAL AVE, CHURCH HILL, TN 376423602 (Tel: 4239431143)

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Provider Name / Credentials Updated January 23, 2013

Recorded as AMBER RANDOLPH, RN

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Medical Taxonomy / Specialty Registered (Primary Specialty) January 23, 2013

Registered Nurse (License #RN0000140858 in TN)

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Initial NPI Registration & Enumeration January 08, 2008

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1043495112
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 08, 2008
Last Update: January 23, 2013
Deactivation Date: January 15, 2021

Mailing Address

470 S Central Ave

Church Hill, TN 376423602

Phone: 4239431143

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.