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

Randi Rasberry, PA-C

Individual provider Physician Assistant · NPI 1215313903

Randi Rasberry, PA-C is a Physician Assistant in Nesconset, New York. Practices as a sole proprietor and works from 2 locations. Licensed in Louisiana and New York.

Licensed in
LA, NY
In the registry since
2015
Specialties on file
3
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

See every abbreviation used in this directory →

Practice location Address checks out

100 Southern Blvd
Nesconset, NY 11767-1797
Phone: (872) 231-3162
Fax: (702) 977-1496
Show map & directions

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

Additional practice locations (1)

  • 78 Old Country Rd, Westhampton, NY 11977-1219 — (872) 231-3162

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 1126818 (NY)
Physician Assistant Taxonomy 363A00000X · Licence PA.200846 (LA)
Surgical Physician Assistant Taxonomy 363AS0400X · Licence PA.200846 (LA)

Record details

NPI number1215313903
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorYes
NPI enumeratedAugust 4, 2015
Last updated in NPPESNovember 26, 2025
Certification dateNovember 26, 2025

Other providers in Nesconset