BRIANNA KAY RANDALL (NPI# 1164954020) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1164954020 |
Entity Type | Individual |
Full Name | BRIANNA KAY RANDALL |
Other Name | BRIANNA KAY OLSON |
Credential | PAC |
Practice Address |
3366 Oakdale Ave N Ste 104 Robbinsdale MN 55422-2948 |
Practice Telephone | 7635207870 |
Practice Fax Number | 7635207580 |
Mailing Telephone | 7635207870 |
Mailing Fax Number | 7635207580 |
Enumeration Date | 2017-03-30 |
Last Update Date | 2017-11-20 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363A00000X | Physician Assistant | 12405 | MN | Physician Assistants & Advanced Practice Nursing Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
MN | 1164954020 | 05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1740773126 | Brianna Randall | Case Manager/Care Coordinator | 106 Business Park Avenue, Denham Springs, LA 70427 | 2018-06-11 |
Street Address |
3366 OAKDALE AVE N STE 104 |
City | ROBBINSDALE |
State | MN |
Zip Code | 55422-2948 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1598746513 | Jennifer A Flaherty | Physician Assistant | 3366 Oakdale Ave N, Suite 103, Robbinsdale, MN 55422-2948 | 2005-11-08 |
1699228999 | Matthew Idle | Dentist | 3366 Oakdale Ave N, Robbinsdale, MN 55422-2948 | 2016-08-03 |
1598135287 | Kelly Lynn Vanderheyden | Physician Assistant | 3366 Oakdale Ave N, Suite 103, Robbinsdale, MN 55422-2948 | 2015-10-07 |
1134599038 | Kari Ann Gabrielse | Physician Assistant | 3366 Oakdale Ave N, Suite 103, Robbinsdale, MN 55422-2948 | 2015-10-05 |
1346621919 | Anna E Marjan | Surgery | 3366 Oakdale Ave N, Robbinsdale, MN 55422-2948 | 2015-06-09 |
1982008413 | Amanda Lynn Solyntjes | Specialist/Technologist | 3366 Oakdale Ave N, Robbinsdale, MN 55422-2948 | 2014-10-13 |
1417351941 | Rachael Jensen | Specialist/Technologist | 3366 Oakdale Ave N, Robbinsdale, MN 55422-2948 | 2014-10-13 |
1801205984 | Travis Wayne Urbatch | Physician Assistant | 3366 Oakdale Ave N, Suite 103, Robbinsdale, MN 55422-2948 | 2014-08-04 |
1609217769 | Rita Ann Anderson | Nurse Practitioner | 3366 Oakdale Ave N, Suite 551, Robbinsdale, MN 55422-2948 | 2013-07-17 |
1588005417 | Christopher Andrew Romanowicz | Physician Assistant | 3366 Oakdale Ave N, Suite 103, Robbinsdale, MN 55422-2948 | 2013-07-08 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1154966794 | Trevor Velin | Chiropractor | Robin Center Chiropractic, Pa, 4080 W Broadway Ave, 310, Robbinsdale, MN 55422 | 2019-11-07 |
1780165134 | American Current Care of Minnesota PC | Clinic/Center | 4080 W Broadway Ave Ste 200, Robbinsdale, MN 55422 | 2018-08-23 |
1366928426 | Creekside Family Dental Pllc | Dentist | Giebenhain Dental Associates, P.a., 5851 Duluth Street # 103, Golden Valley, MN 55422 | 2018-07-12 |
1497249536 | Luke Utecht | Psychologist | 4150 Olson Memorial Hwy, Suite 420, Golden Valley, MN 55422 | 2018-06-21 |
1821582115 | Ajaa Oliver | Registered Nurse | 3606 Zenith Ave N, Robbinsdale, MN 55422 | 2018-06-19 |
1306348024 | Leila Jean Erlandson | Marriage & Family Therapist | Golden Valley Executive Center, 4284 Dahlberg Drive, Golden Valley, MN 55422 | 2018-03-08 |
1467969907 | Minneapolis Health Clinic Pllc | Internal Medicine | 4825 Olson Memorial Hwy., Suite 101, Golden Valley, MN 55422 | 2018-01-05 |
1275049116 | Lake Town Homecare, LLC | In Home Supportive Care | 4119 Scott Ave N, Robbinsdale, MN 55422 | 2017-12-14 |
1750894002 | Unihealth Home Care, LLC | Home Health | 1710 Douglas Dr N Ste 226j, Golden Valley, MN 55422 | 2017-11-08 |
1194172296 | Crosscultural Health Care Inc | Home Health | 5801 Duluth Street Suite 310, Golden Valley, MN 55422 | 2016-05-18 |
Find all providers in zip 55422 |
Taxonomy Code | 363A00000X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Physician Assistant |
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1598746513 | Jennifer A Flaherty | Physician Assistant | 3366 Oakdale Ave N, Suite 103, Robbinsdale, MN 55422-2948 | 2005-11-08 |
1487284501 | Max Napolitano | Physician Assistant | 3300 Oakdale Ave N, Robbinsdale, MN 55422-2926 | 2020-01-16 |
1124682851 | Mary Elizabeth Neill | Physician Assistant | 3366 Oakdale Ave N Ste 103, Robbinsdale, MN 55422-2961 | 2019-04-29 |
1992278592 | Peter D Seebart | Physician Assistant | 3300 Oakdale Ave N, Robbinsdale, MN 55422-2926 | 2019-01-07 |
1740758176 | Ana Rae Dauschmidt | Physician Assistant | 3300 Oakdale Ave N, Robbinsdale, MN 55422-2926 | 2018-11-03 |
1144704867 | Tyler John Back | Physician Assistant | 3366 Oakdale Ave N Ste 303, Robbinsdale, MN 55422-2977 | 2018-09-19 |
1831680313 | Anna Marie Klopfenstein | Physician Assistant | 3366 Oakdale Ave N Ste 103, Robbinsdale, MN 55422-2961 | 2018-05-21 |
1609380872 | Kirsten Ann Boland | Physician Assistant | 3300 Oakdale Ave N, Robbinsdale, MN 55422-2926 | 2017-11-27 |
1073022372 | Sean Sullivan Dwyer | Physician Assistant | 4600 Lake Road Ave Ste 301, Robbinsdale, MN 55422-1845 | 2017-09-29 |
1588185433 | Zachary John Zabadal | Physician Assistant | 3300 Oakdale Ave N, Robbinsdale, MN 55422 | 2017-06-30 |
Find all providers in ROBBINSDALE |
City | ROBBINSDALE |
Zip Code | 55422 |
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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.