Look up the most recent NPI and PECOS records

Randa Khalid Salem

Nurse Practitioner

Physician Assistants & Advanced Practice Nursing Providers

501 19th St Ste 401, Knoxville, TN 37916-1831

(865) 331-2020

PECOS Enrollment

This provider is enrolled in PECOS as RANDA SALEM.

Based on the most recent information from CMS, provider Randa Khalid Salem is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records 3 days ago.

Profile Details

Provider ID
1245073196
Provider Type
Individual
Full Name
Salem, Randa Khalid
Credential
FNP-BC

Gender
Female
Sole Proprietor
No
Enumeration Date
6/18/2024
Last Updated
4/3/2025

Contact Information

Practice Location

501 19th St Ste 401, Knoxville, TN 37916-1831

(865) 331-2020

Unlisted Fax

Mailing Location

501 19th St Ste 401, Knoxville, TN 37916-1831

(865) 331-2020

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 363LF0000X Primary	Description Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers	License 36158 Tennessee
Code 363L00000X	Description Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers	License 36158 Tennessee

Randa Khalid Salem

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Code

Description

License

Buck, Amy Nanette

Art, Olivia Caroline

Langstone, Katy

Stevens, Jenny R

Hull, Darrel T

Harrill, Kaitlyn Dorthea

Thompson-Long, Keisha

Whisenant, Cynthia

Rovetti, Corinne Sandy

Payne, Rachel