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

Johnnie Lynn Randolph

Individual provider Prosthetist · NPI 1598658502

Johnnie Lynn Randolph is a Prosthetist in Thibodaux, Louisiana. Registered with an NPI since 2025.

In the registry since
2025

Practice location Address checks out

246 Shadow Pointe Rd
Thibodaux, LA 70301-8448
Phone: (985) 688-8264
Show map & directions

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

Specialties & licences

Prosthetist (primary) Taxonomy 224P00000X

Record details

NPI number1598658502
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMay 29, 2025
Last updated in NPPESMay 29, 2025
Certification dateMay 29, 2025
Mailing address10202 Perkins Rowe Ste E, Baton Rouge, LA 70810-2067