Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Holly Ann Randall

Individual provider Primary Care Nurse Practitioner · NPI 1649039165

Holly Ann Randall is a Nurse Practitioner in Heath, Ohio. Qualified in 2023, 3 years ago. Practices with Genesis Medical Group, LLC, a 262-clinician group and accepts Medicare assignment. Licensed in Ohio.

Years since qualifying
3
Licensed in
OH
In the registry since
2024

Practice location Address checks out

623 Louise Ave
Heath, OH 43056-1227
Phone: (740) 404-6522
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Primary Care Nurse Practitioner (primary) Taxonomy 363LP2300X · Licence APRN.CNP.0036031 (OH)

Record details

NPI number1649039165
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMarch 18, 2024
Last updated in NPPESMarch 18, 2024
Certification dateMarch 17, 2024
Mailing address623 Louise Ave, Heath, OH 43056-1227

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Genesis Medical Group, Llc — 262 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Heath