Miss Heather Ann Randolph, MS, CCC-SLP - Speech-Language Pathologist in St Augustine, FL

Miss Heather Ann Randolph, MS, CCC-SLP is a Speech-language Pathologist based in St Augustine, Florida. Miss Heather Ann Randolph is licensed to practice in Nevada (license number SP-2256) and her current practice location is 131 Tree Frog Way, St Augustine, Florida. She can be reached at her office (for appointments etc.) via phone at (208) 608-0906.

NPI number for Miss Heather Ann Randolph is 1275898520 and her current mailing address is 131 Tree Frog Way, St Augustine, Florida. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1275898520.

Contact Information

Miss Heather Ann Randolph, MS, CCC-SLP
131 Tree Frog Way,
St Augustine, FL 32095-7523
(208) 608-0906
Not Available

Map and Direction




Healthcare Provider's Profile

Full NameMiss Heather Ann Randolph
GenderFemale
SpecialitySpeech-language Pathologist
Location131 Tree Frog Way, St Augustine, Florida
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1275898520
  • Provider Enumeration Date: 07/11/2012
  • Last Update Date: 01/19/2023

Medical Identifiers

Medical identifiers for Miss Heather Ann Randolph such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1275898520NPI-NPPES
21575OtherCACA STATE LICENSE
12152811OtherIDASHA CERTIFICATE OF CLINICAL COMPETENCE
SP-2256OtherNVNV STATE LICENSE

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
235Z00000XSpeech-language Pathologist 21575 (California)Secondary
235Z00000XSpeech-language Pathologist SP-2256 (Nevada)Primary
235Z00000XSpeech-language Pathologist SA20055 (Florida)Secondary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Miss Heather Ann Randolph is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Miss Heather Ann Randolph, MS, CCC-SLP
131 Tree Frog Way,
St Augustine, FL 32095-7523

Ph: (208) 608-0906
Miss Heather Ann Randolph, MS, CCC-SLP
131 Tree Frog Way,
St Augustine, FL 32095-7523

Ph: (208) 608-0906

Reviews and Comments


Speech-Language Pathologist in St Augustine, FL

Kristin Bowman,
Speech-Language Pathologist
Medicare: Not Enrolled in Medicare
Practice Location: 111 Nature Walk Pkwy, Suite 101, St Augustine, FL 32092
Phone: 904-230-7761    Fax: 904-230-7763
Benjamin Manning,
Speech-Language Pathologist
Medicare: Not Enrolled in Medicare
Practice Location: 56 Water St, St Augustine, FL 32084
Phone: 727-364-4024    
Pamela P Crawford, SLP
Speech-Language Pathologist
Medicare: Not Enrolled in Medicare
Practice Location: 542 Sarto Ct, St Augustine, FL 32086
Phone: 904-797-6405    
Julia Affronti, MS, CF-SLP
Speech-Language Pathologist
Medicare: Not Enrolled in Medicare
Practice Location: 111 Nature Walk Pkwy Unit 108, St Augustine, FL 32092
Phone: 904-328-7489    
Dianne Roosen,
Speech-Language Pathologist
Medicare: Not Enrolled in Medicare
Practice Location: 2 Coleman Dr, St Augustine, FL 32084
Phone: 727-967-1036    
Caitlin Mason, SLP
Speech-Language Pathologist
Medicare: Not Enrolled in Medicare
Practice Location: 56 Water St, St Augustine, FL 32084
Phone: 727-364-4024    
Rachelle Nicholson Mccranie, M.A. CCC-SLP
Speech-Language Pathologist
Medicare: Not Enrolled in Medicare
Practice Location: 362 Rosa Ct, St Augustine, FL 32086
Phone: 904-315-4265    

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