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

MS. Kimberly T Randolph, ARNP-C

Individual provider Adult Health Nurse Practitioner · NPI 1457788671

MS. Kimberly T Randolph, ARNP-C is a Nurse Practitioner in Tampa, Florida. Qualified in 2013, 13 years ago. Practices as a sole proprietor, works from 2 locations and accepts Medicare assignment. Licensed in Florida.

Years since qualifying
13
Licensed in
FL
In the registry since
2013
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Practice location Address checks out

13047 W Linebaugh Ave Ste 102
Tampa, FL 33626-4487
Phone: (813) 475-6542
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 6919 N Dale Mabry Hwy Ste 300, Tampa, FL 33614-3972 — (813) 935-3221

Specialties & licences

Adult Health Nurse Practitioner (primary) Taxonomy 363LA2200X · Licence ARNP9318390 (FL)

Record details

NPI number1457788671
Entity typeIndividual (Type 1)
GenderFemale
Credentials ARNP-C
Sole proprietorYes
NPI enumeratedOctober 2, 2013
Last updated in NPPESAugust 19, 2021
Certification dateAugust 19, 2021

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2013 (13 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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