Individual provider · Type 1 NPI
Blake Randolph, NP-C
Nurse Practitioner · Reinbeck, IA
Practice location
604 West St
Reinbeck, IA 50669-1353
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner | 363LF0000X | A156287 (IA) |
| Nurse Practitioner Primary | 363L00000X | A156287 (IA) |
Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…
About NPI 1295382786
Blake Randolph, NP-C's National Provider Identifier is 1295382786, issued on Aug 20, 2019. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Reinbeck, IA. The record was last updated on Aug 21, 2025.