Randi Nathanson


Randi Nathanson founded The Nathanson Group in 1993 and is committed to providing the highest quality of legal services to her clients. She has been practicing law since 1979 after graduating from George Washington University and has since specialized in the representation of health care clients in transactional and regulatory matters. Randi has a broad range of experience handling transactions involving the purchase, sale, leasing and management of nursing homes, hospitals and assisted living facilities, public and private financing transactions, such as commercial loan transactions, revolving credit agreements and tax exempt bond financings, and dealing with state regulators on issues related to licensure, certification and certificates of need. Randi oversees the work of the Approvalign® team with the goal of ensuring that transactions undertaken by the team are processed with efficiency and accuracy. Randi has contacts throughout the United States into which she can tap to get the answers which TNG’s clients need to their regulatory questions.

Shanda London

Regulatory Compliance Lead Coordinator

Shanda London started at The Nathanson Group in 1993 and she is currently the Regulatory Compliance Lead Coordinator. Shanda has extensive knowledge of all areas of complex real estate transactions and corporate law. Her current area of focus is regulatory compliance for long term care facilities, including document preparation and submittal in accordance with local, county, state and federal laws, and ensuring that such facilities are in compliance with all required permits and licenses. More specifically, Shanda’s work includes the preparation and processing of state healthcare licensure applications and local and state ancillary permit applications including beauty salon, elevator, alarm, and CLIA permits. Shanda is also skilled at analyzing whether a transaction requires regulatory approval and what ownership disclosure is required in connection with each particular licensure or ancillary permit application. Shanda heads the Special Projects Division and brings over 20 years of knowledge and experience to the Firm.

Justin Ceffalo

Licensing Compliance Coordinator

Justin Ceffalo joined The Nathanson Group in 2013. Justin came to The Nathanson Group with a background in financial services and patent law support. Justin moved into his current position as Regulatory Compliance Assistant in October 2014. Justin uses his technical and administrative skills to help to improve to the efficiency of the overall Approvalign® process. His work with the Approvalign® team includes ensuring that the versions of regulatory documents that are located in the Approvatrack® database are the most current and are stored in Approvatrack® in a manner which facilitates their ease of use by other members of the Approvalign® team.

Margaret Lane

Counsel to the Firm

Margaret has experience with a wide variety of health care regulatory work including health care facility policies and agreements. She has worked with state and federal regulators and agencies, and led a state Vaccine Association. She currently heads the legal division and we are happy to have the skills and knowledge she brings to the regulatory team. Prior to joining TNG, Margaret worked in NY for Brown & Wood (now Sidley & Austin) representing hospital systems in financing transactions, in Seattle for a multi-state health insurer where she directed the public policy and regulatory team, and as a health care consultant. She has worked on projects relating to Skilled Nursing, Nursing homes, health reform, ACOs, vaccines, and medical respite.

Aishia Dueno

Licensing Compliance Senior Coordinator

Aishia joined The Nathanson Group PLLC in the spring of 2017. Prior to joining The Nathanson Group she worked for Summit Healthcare Alliance. Aishia graduated with a degree in Healthcare Administration & Policy from Creighton University and has an MBA from Seattle University. Aishia is a Regulatory Compliance Senior Coordinator and heads the Licensure Division of the Approvalign® team. In that role she assists clients with a range of long-term care facility licensing projects including applications for changes of ownership, changes of manager, and various ancillary permits, as well as supervising the work of the other Regulatory Compliance Coordinators and Regulatory Compliance Assistants on the Approvalign® team.

Josh Cohen

Licensing Compliance Coordinator

Josh joined The Nathanson Group PLLC in 2019. Prior to joining The Nathanson Group, Josh completed a PhD in Biochemistry at the University of Washington and interned with UW CoMotion to evaluate innovative technologies, intellectual property, and the regulatory challenges associated with bringing these to market. Josh is a Regulatory Compliance Coordinator. In that role he assists clients with a range of long-term care facility licensing projects including applications for changes of ownership, changes of manager, and various ancillary permits.

McKinlee Poole

Licensing Administrative Assistant

McKinlee joined The Nathanson Group in winter of 2019. McKinlee has strong administrative and technical skills. In her role as the Licensing Administrative Assistant, McKinlee uses those skills to provide a variety of services in support the Approvalign® team. McKinlee’s duties include, but are not limited to, maintaining the Approvatrack® database which is used by the members of the Approvalign® team to research regulatory issues and prepare licensure applications.

Nicole Reddy

Licensing Compliance Coordinator

Nicole joined The Nathanson Group in the summer of 2021. She comes to the firm with a strong healthcare background, having worked for 8 years as a Pharmacy Technician and 3 years as an Assisted Living Facility Office Manager. Nicole is driven by passion and takes pride in providing the best work possible. Nicole is a Regulatory Compliance Assistant and in that role provides support to the Approvalign® team by, among other things, researching the and applying for needed ancillary licenses and permits.