Tara Randolph, PNP
- Affiliated sites
- 1
- Medical group
- 1
- State license
- 1
- Year NPI issued
- 2022
- Practice address
- 12000 Elm Creek N Blvd, Maple Grove, MN 55369
- Practice phone
- Call (952) 401-8300
- Professional email
- Get professional email
- Personal email
- Get personal email
- Mobile number
- Get mobile number
Primary practice
South Lake Pediatrics
Maple Grove, Minnesota
Find Tara Randolph's professional email, personal email and mobile number
Dmand AI checks each channel through healthcare-specific waterfall enrichment. See what is on file with a free account, with practice phones, licenses and affiliations.
Tara Randolph is a pediatric nurse practitioner in Maple Grove, Minnesota
Tara Randolph practices at South Lake Pediatrics in Maple Grove, Minnesota.
Tara Randolph's NPI, 1760119622, was assigned on August 2, 2022. Tara Randolph holds Minnesota license 9228.
- NPI
- 1760119622NPI Registry (opens in a new tab)
- NPI enumeration date
- August 2, 2022
- NPI status
- Active
- Practice phone
- (952) 401-8300
- Professional email
- Get email
- Personal email
- Get email
- Mobile number
- Get number
- Sex
- Female
Sources: NPPES NPI Registry (CMS); Dmand AI Professional Profile Data; and Dmand AI Practice Data
Tara Randolph practices at South Lake Pediatrics in Maple Grove, Minnesota
Tara Randolph's primary practice is South Lake Pediatrics, at 12000 Elm Creek N Blvd, Maple Grove, MN 55369 in Hennepin County. The practice phone is (952) 401-8300.
- South Lake Pediatrics12000 Elm Creek N Blvd, Maple Grove, MN 55369 · Hennepin CountyPhone(952) 401-8300
Sources: NPPES NPI Registry (CMS); and Dmand AI Practice Data
Tara Randolph is affiliated with 2 sites of care and 1 medical group
Tara Randolph's primary practice is South Lake Pediatrics in Maple Grove, Minnesota. The medical group on file is South Lake Pediatrics. Dmand AI also links Tara Randolph to 1 more group practice or clinic, named with a free account.
Sources: NPPES NPI Registry (CMS); Dmand AI Practice Data; and Dmand AI Affiliation Data
Dmand AI tracks the EHR system at Tara Randolph's practice
Dmand AI tracks the electronic health record (EHR) system at each site where Tara Randolph practices. Vendor and product names are available with a free account.
| Site | EHR vendor and product |
|---|---|
| South Lake Pediatrics | Available with a free account |
| +1 more affiliated site | Available with a free account |
Source: Dmand AI Technology Install Data
For health IT teams
Dmand AI maps EHR vendors, IT decision makers and buying committees across each health system and 6.2K+ hospitals, with verified contacts in the same login.
Tara Randolph is one of 346 pediatric nurse practitioners in Minnesota
Nurse practitioner is Tara Randolph's primary specialty in the NPI Registry, under taxonomy code 363LP0200X. The record also lists pediatrics. Tara Randolph is licensed in Minnesota.
Specialties and state licenses
- Pediatric nurse practitioner, MinnesotaPrimary
Pediatric nurse practitioners near Tara Randolph
Counts of pediatric nurse practitioners with a Dmand AI profile, by place and practice. Each opens the list.
Sources: NPPES NPI Registry (CMS); Dmand AI Professional Profile Data; and Dmand AI Peer Benchmarks
Tara Randolph's patients have a median age of 4
Across all payers, Dmand AI patient panel data puts Tara Randolph's median patient age at 4, with 56% women.
Tara Randolph's patients across all payers
Dmand AI patient panel data covers Medicare, Medicaid and commercial patients.
Patient panel by age, all payers
Median age 4
Patient panel by sex, all payers
- Women56%
- Men43%
Source: Dmand AI Patient Panel Data
Sources for Tara Randolph's profile data
| Data on this page | Source |
|---|---|
| NPI, name, sex, specialty and licenses | NPPES NPI Registry (CMS) (opens in a new tab)Dmand AI Professional Profile Data |
| Practice locations and phone | NPPES NPI Registry (CMS) (opens in a new tab)Dmand AI Practice Data |
| Primary practice, affiliations and health system | NPPES NPI Registry (CMS) (opens in a new tab)Dmand AI Practice DataDmand AI Affiliation Data |
| Medicare patients and the all-payer patient panel | Dmand AI Patient Panel Data |
| EHR at each practice site | Dmand AI Technology Install Data |
| Similar physicians | Dmand AI Affiliation Data |
Data last refreshed October 2026Report an inaccuracyRemove my information
FAQ
Frequently asked questions about Tara Randolph
Spotted something out of date? Email hello@dmand.ai and we will check the record. Contact details live in the free trial.
What is Tara Randolph's NPI number?
Tara Randolph's NPI number is 1760119622. It was assigned on August 2, 2022, and it is active in the NPI Registry.
What does Tara Randolph specialize in?
Tara Randolph is a pediatric nurse practitioner in Maple Grove, Minnesota. The primary specialty in the NPI Registry is Pediatric Nurse Practitioner (taxonomy code 363LP0200X).
Where does Tara Randolph practice?
Tara Randolph practices at 12000 Elm Creek N Blvd, Maple Grove, MN 55369. Tara Randolph's primary practice is South Lake Pediatrics in Maple Grove, Minnesota. Dmand AI also links Tara Randolph to 1 group practice or clinic.
What is Tara Randolph's office phone number?
The practice phone on file for Tara Randolph is (952) 401-8300.
What is Tara Randolph's medical license number?
Tara Randolph holds Minnesota license 9228.
What medical group is Tara Randolph part of?
Tara Randolph is linked to South Lake Pediatrics.
How long has Tara Randolph been practicing?
Tara Randolph's NPI was assigned in 2022.
Selling to nurse practitioner practices?
See pediatric nurse practitioners in Minnesota by site of care and group
Find the practices, groups and hospitals they work with, and the right people to contact at each.
- 30 days free
- Self-serve
- No credit card