YVONNE DANTZLER-RANDOLPH (NPI# 1134664303) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134664303 |
| Entity Type | Individual |
| Full Name | YVONNE DANTZLER-RANDOLPH |
| Credential | NP |
| Practice Address |
150 E Swan St Centerville TN 37033-1446 |
| Mailing Address |
300 20th Ave N Ste 403 Nashville TN 37203-5180 |
| Practice Telephone | 9317293091 |
| Practice Fax Number | 9317290809 |
| Mailing Telephone | 6152844029 |
| Mailing Fax Number | 6152847501 |
| Enumeration Date | 2016-12-27 |
| Last Update Date | 2019-08-12 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | 23047 | TN | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363L00000X | Nurse Practitioner | 209015234 | IL | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
150 E SWAN ST |
| City | CENTERVILLE |
| State | TN |
| Zip Code | 37033-1446 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871557967 | Zachary Mcvey Hutchens | Family Medicine | 150 E Swan St, Centerville, TN 37033-1446 | 2006-04-14 |
| 1871126482 | Loretta Pentlicki | Nurse Practitioner | 150 E Swan St, Centerville, TN 37033-1446 | 2020-02-21 |
| 1639648512 | Samantha Lea Nordan | Nurse Practitioner | 150 E Swan St, Centerville, TN 37033-1446 | 2018-11-20 |
| 1518470590 | Dona Maria Biggs | Nurse Practitioner | 150 E Swan St, Centerville, TN 37033 | 2017-11-13 |
| 1043676422 | Melissa Monroe | Nurse Practitioner | 150 E Swan St, Centerville, TN 37033-1446 | 2016-01-14 |
| 1265879878 | Mark Hartsfield | Family Medicine | 150 E Swan St, Centerville, TN 37033-1446 | 2013-05-23 |
| 1164764189 | Cassie Laurel Coleman | Pharmacist | 150 E Swan St, Centerville, TN 37033-1446 | 2013-03-18 |
| 1649442385 | Sameena Waheed Khan | Internal Medicine | 150 E Swan St, Centerville, TN 37033-1446 | 2008-04-01 |
| 1255541918 | Muhammad Mirza | Family Medicine | 150 E Swan St, Centerville, TN 37033-1446 | 2007-05-23 |
| 1366474298 | Dawn A Glenn | Nurse Practitioner | 150 E Swan St, Centerville, TN 37033-1446 | 2006-07-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225550031 | Saint Thomas Health | Pharmacy | 150 East Swan Street, Centerville, TN 37033 | 2017-07-13 |
| 1558726109 | Rebecca Schmid | Nurse Practitioner | 1518 Hwy 100, Centerville, TN 37033 | 2015-12-28 |
| 1144589458 | Robert Wilson | Chiropractor | 132a N Central Ave, Centerville, TN 37033 | 2012-05-07 |
| 1053543256 | Sandra Elliott Tinnin | Midwife | 1180 Sulpher Creek Rd., Centerville, TN 37033 | 2009-08-20 |
| 1225267578 | Charlotte Maricia Staggs | Counselor | 820 Highway 100, #3, Centerville, TN 37033 | 2009-07-08 |
| 1083742084 | Centerstone | Community/Behavioral Health | 704 Highway 100, Suite101, Centerville, TN 37033 | 2007-03-01 |
| 1972684074 | Christy Hulan Mays | Pharmacist | 401 West Public Square, Centerville, TN 37033 | 2006-10-17 |
| 1992718688 | Saint Thomas Hickman Hospital | Clinic/Center | 150 E Swan Street, Centerville, TN 37033 | 2006-08-14 |
| 1528090552 | Freds Stores of Tennessee Inc | Durable Medical Equipment & Medical Supplies | 1797 Hwy 100 East, Centerville, TN 37033 | 2006-07-07 |
| 1326074402 | Centerville Medical Investors, LLC | Skilled Nursing Facility | 112 Old Dickson Road, Centerville, TN 37033 | 2006-06-23 |
| Find all providers in zip 37033 | ||||
| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | 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 with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
| Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508482936 | Leah Elizabeth Coffman | Nurse Practitioner | 6474 Winthrop Pl, Centerville, OH 45459-2833 | 2020-06-22 |
| 1124679576 | Caren Michael | Nurse Practitioner | 8039 Washington Village Dr Ste 100, Centerville, OH 45458-1877 | 2019-09-26 |
| 1306407101 | Amy L. Goff-yates | Nurse Practitioner | 6179 Laurelhurst Ln, Centerville, OH 45459-2227 | 2019-06-24 |
| 1447503933 | Martha Ann Sheldrick | Nurse Practitioner | 212 Walnut Grove Dr, Centerville, OH 45458 | 2012-10-21 |
| 1710990148 | Susan Ellen Gaughan | Nurse Practitioner | 87 Liam Lane, Centerville, MA 02632-3354 | 2006-08-15 |
| 1710963657 | Yvonne Y. Clark | Nurse Practitioner | 1550 Yankee Park Pl, Ste A, Centerville, OH 45458-1838 | 2005-12-22 |
| 1619521028 | Maria Annette Horn | Nurse Practitioner | 1975 Miamisburg Centerville Rd, Centerville, OH 45459-3811 | 2019-07-25 |
| 1740832807 | Cathy Sue Ernst | Nurse Practitioner | 1975 Miamisburg Centerville Rd, Centerville, OH 45459-3811 | 2019-07-09 |
| 1710549860 | Lisa K Bowman | Nurse Practitioner | 2400 Miami Valley Dr, Centerville, OH 45459 | 2019-06-28 |
| 1467012328 | Danielle Smith | Nurse Practitioner | 1518 Hwy 100, Centerville, TN 37033 | 2019-06-13 |
| Find all providers in CENTERVILLE | ||||
| City | CENTERVILLE |
| Zip Code | 37033 |
Please comment or provide details below to improve the information on YVONNE DANTZLER-RANDOLPH.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.