Ashanta S Randolph, FNP

Nurse practitioner in San Antonio, Texas · NPI 1194301515

Ashanta Randolph is one of 1,633 nurse practitioners practicing in San Antonio, Texas. Ashanta Randolph practices with Wellmed Medical Group PA.

Registry record (NPPES)

NPI
1194301515
Type
Type 1 · Individual
Primary taxonomy
Nurse Practitioner, Family · 363LF0000X
Address on file
4700 W Sam Houston Pkwy N Ste 220
Houston, TX 77041-8224
(713) 402-7824
Enumerated
Mar 24, 2021
Record last updated
Jan 3, 2023
License states listed
TX

Medicare (CMS)

Enrollment
Medicare-enrolled in TX
Nurse Practitioner
Revalidation due
No date set by CMS

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Practice locations

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Updated August 2026. Practice locations and specialty come from the CMS Doctors and Clinicians file, the registry record from NPPES, and enrollment from CMS Medicare enrollment files. NPI records are corrected at the source, through NPPES.