EDWARD RANDY MIKEL JR. (NPI# 1295203842) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295203842 |
| Entity Type | Individual |
| Full Name | EDWARD RANDY MIKEL JR. |
| Credential | FNP |
| Practice Address |
15740 S Outer 40 Rd Chesterfield MO 63017-2004 |
| Mailing Address |
15740 South Outer 40 Rd Chesterfield MO 63017-2004 |
| Practice Telephone | 6362374200 |
| Mailing Telephone | 6362374200 |
| Enumeration Date | 2018-11-12 |
| Last Update Date | 2018-11-12 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
2017004747 | MO | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
15740 S OUTER 40 RD |
| City | CHESTERFIELD |
| State | MO |
| Zip Code | 63017-2004 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902893811 | Cheryl L. Street | Nurse Practitioner | 15740 S Outer 40 Rd, Chesterfield, MO 63017 | 2005-10-05 |
| 1306489083 | Lauren Mary Straszacker | Nurse Practitioner | 15740 S Outer 40 Rd, Chesterfield, MO 63017-2004 | 2019-10-24 |
| 1306496849 | Kelli Ann Nestle | Nurse Practitioner | 15740 S Outer 40 Rd, Chesterfield, MO 63017-2004 | 2019-09-17 |
| 1023679214 | Ryan Collins | Dietitian, Registered | 15740 S Outer 40 Rd, Chesterfield, MO 63017-2004 | 2019-06-27 |
| 1306304605 | Meghann Morris | Nurse Practitioner | 15740 S Outer 40 Rd, Chesterfield, MO 63017-2004 | 2019-03-05 |
| 1073071585 | Victoria Lynn Alstadt-johnson | Nurse Practitioner | 15740 S Outer 40 Rd, Chesterfield, MO 63017-2004 | 2019-03-05 |
| 1790259844 | Katherine Antoinette Lewis | Nurse Practitioner | 15740 S Outer 40 Rd, Chesterfield, MO 63017-2004 | 2019-01-11 |
| 1386117422 | Bree Sarner Banaszynski | Social Worker | 15740 S Outer 40 Rd, Chesterfield, MO 63017-2004 | 2019-01-10 |
| 1255803946 | Lauren Marie Hunter | Nurse Practitioner | 15740 S Outer 40 Rd, Chesterfield, MO 63017-2004 | 2018-12-19 |
| 1871064972 | Jacqueline Michelle Block | Nurse Practitioner | 15740 S Outer 40 Rd, Chesterfield, MO 63017-2004 | 2018-12-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114549193 | Kathryn E Bos | Student in an Organized Health Care Education/Training Program | 873 Apt N Foxsprings Dr, Chesterfield, MO 63017 | 2020-05-12 |
| 1700415171 | Charles H. Edwards | Physical Therapist | 224 South Woods Millrd., Suite 610 South, Chesterfield, MO 63017 | 2020-04-07 |
| 1003454562 | Stephanie Henningsen | Physical Therapy Assistant | 307 S Woods Rd, Chesterfield, MO 63017 | 2019-12-16 |
| 1831746296 | Star Lynn Sutton | Occupational Therapy Assistant | 15207 Olive Boulevard, Chesterfield, MO 63017 | 2019-08-21 |
| 1639738438 | Van Amburg & Busiek Md's, LLC | Pharmacy | 232 S Woodsmill Road, Suite 330 East, Chesterfield, MO 63017 | 2019-06-06 |
| 1306306865 | Margaret Mary Wynn | Nurse Practitioner | 15740 South Outer Road, Chesterfield, MO 63017 | 2019-03-21 |
| 1205393089 | Kimberly Danielle | Nurse Practitioner | 744 Forest Trace Dr, Chesterfield, MO 63017 | 2019-02-27 |
| 1457823965 | Allison Joy Mcgrail | Dietitian, Registered | 45740 S Outer Forty Rd, Chesterfield, MO 63017 | 2018-12-21 |
| 1316418080 | Julie Lefere | Social Worker | Mercy Virtual Care Center, 15740 S Outer 40 Rd, Chesterfield, MO 63017 | 2018-12-06 |
| 1336629641 | Catherine Dolphin Smith | Nurse Practitioner | 224 S Woods Mill Rd Ste 500, Chesterfield, MO 63017 | 2018-08-16 |
| Find all providers in zip 63017 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932708971 | Kenjilyn Saldua Uchida | Nurse Practitioner | 8006 Hampton Glen Mews, Chesterfield, VA 23832-2003 | 2020-10-21 |
| 1083211981 | Rebecca Escamilla | Nurse Practitioner | 52867 Turnberry Dr, Chesterfield, MI 48051-3657 | 2020-10-04 |
| 1841807948 | Mollie Alexander | Nurse Practitioner | 9901 Lori Rd, Chesterfield, VA 23832-6626 | 2020-09-23 |
| 1952917791 | Beatrice B Brown | Nurse Practitioner | 7812 Hampton Manor Ct, Chesterfield, VA 23832-2061 | 2020-09-17 |
| 1083234165 | Hannah Braxton | Nurse Practitioner | 5625 Burnage Ct, Chesterfield, VA 23832-4051 | 2020-04-20 |
| 1790314326 | Sara Jessica Buckhorn | Nurse Practitioner | 232 S Woods Mill Rd Ste 330, Chesterfield, MO 63017-3467 | 2020-04-06 |
| 1083259287 | Saving & Changing Lives LLC | Nurse Practitioner | 9520 Iron Bridge Rd Ste 31, Chesterfield, VA 23832-6455 | 2019-11-12 |
| 1437794773 | Kimberly Nicole Ottensmeyer | Nurse Practitioner | 17421 Chesterfield Airport Rd, Chesterfield, MO 63005-1308 | 2019-11-11 |
| 1881244531 | Elizabeth Blanzy | Nurse Practitioner | 16216 Baxter Rd Ste 100, Chesterfield, MO 63017-4778 | 2019-09-15 |
| 1306306865 | Margaret Mary Wynn | Nurse Practitioner | 15740 South Outer Road, Chesterfield, MO 63017 | 2019-03-21 |
| Find all providers in CHESTERFIELD | ||||
| City | CHESTERFIELD |
| Zip Code | 63017 |
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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.