BETHANY RANDLES (NPI# 1326569559) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1326569559 |
| Entity Type | Individual |
| Full Name | BETHANY RANDLES |
| Credential | DNP |
| Practice Address |
1303 State St Mound City MO 64470-1717 |
| Practice Telephone | 6604425464 |
| Enumeration Date | 2017-06-28 |
| Last Update Date | 2018-03-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
2017020420 | MO | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 2303 Village Dr, Saint Joseph, MO 645064954 | 8162326818 |
| Street Address |
1303 STATE ST |
| City | MOUND CITY |
| State | MO |
| Zip Code | 64470-1717 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790972495 | Maria Magnolia Soriano Espejo | Family Medicine | 1303 State St, Mound City, MO 64470-1717 | 2007-09-27 |
| 1740839851 | Danielle Marie Nielson | Social Worker | 1303 State St, Mound City, MO 64470-1717 | 2019-09-11 |
| 1194192559 | Darci L. Feiden | Nurse Practitioner | 1303 State St, Mound City, MO 64470-1717 | 2015-09-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952507766 | Tiffany Care Centers, Inc | Registered Nurse | 1105 State St., Mound City, MO 64470-0308 | 2007-06-27 |
| 1144394313 | Tiffany Care Centers, Inc | Chore Provider | 1105 State St, Mound City, MO 64470-0308 | 2006-11-20 |
| 1669022174 | Lauren G Dozier | Nurse Practitioner | 514 State St, Mound City, MO 64470-1145 | 2019-09-17 |
| 1396033072 | Dustin Charles Carpenter | Family Medicine | 514 State St, Mound City, MO 64470-1145 | 2011-07-15 |
| 1518174507 | Community Hospital Association | Clinic/Center | 514 State St, Mound City, MO 64470-1145 | 2007-05-17 |
| 1740259654 | M Rogers Inc & Subsidiary | Durable Medical Equipment & Medical Supplies | 607 State St, Mound City, MO 64470-1146 | 2006-03-14 |
| 1205383056 | Nancy Johnson | Pharmacist | 607 State St, Mound City, MO 64470-1146 | 2016-09-08 |
| 1174070239 | Lamoyne Dungan | Pharmacist | 607 State St, Mound City, MO 64470-1146 | 2016-09-07 |
| 1275574873 | M. Rogers, Inc. & Subsidiary | Pharmacy | 607 State St, Mound City, MO 64470-1146 | 2006-06-08 |
| 1578984027 | Rachel Sharp | Chiropractor | 105 W 6th St, Mound City, MO 64470-1160 | 2014-01-01 |
| Find all providers in zip 64470 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669022174 | Lauren G Dozier | Nurse Practitioner | 514 State St, Mound City, MO 64470-1145 | 2019-09-17 |
| 1194192559 | Darci L. Feiden | Nurse Practitioner | 1303 State St, Mound City, MO 64470-1717 | 2015-09-01 |
| 1932576642 | Kelsey Welch | Nurse Practitioner | 302 N 1st St, Mound City, KS 66056-5279 | 2015-08-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134720816 | Blake Christian Cory | Nurse Practitioner | 615 S Ballas Rd # 2015, Saint Louis, MO 63122-5314 | 2020-11-08 |
| 1336740620 | Courtney J Perkins | Nurse Practitioner | 724 Sw 30th St, Blue Springs, MO 64015-3381 | 2020-11-04 |
| 1467052381 | Kristin Nersesyan | Nurse Practitioner | 916 Sw Bennington Pl, Lees Summit, MO 64081-3700 | 2020-10-29 |
| 1265032346 | Sara Lynn Gillespie | Nurse Practitioner | 2424 S 9th St Apt 215, Saint Louis, MO 63104-4717 | 2020-10-28 |
| 1659971992 | Carrie Ellen Smith | Nurse Practitioner | Mailstop 90-00-174, One Barnes-jewish Plaza, St. Louis, MO 63110 | 2020-10-27 |
| 1417556994 | Tory Linn Francis | Nurse Practitioner | 19155 Fry Rd, Edgerton, MO 64444-9037 | 2020-10-26 |
| 1174123509 | Megan Ashley Wagner | Nurse Practitioner | 10012 Kennerly Rd Ste 406, Saint Louis, MO 63128-2197 | 2020-10-26 |
| 1033718903 | Lisa Jo Moore | Nurse Practitioner | 2623 S Main Street, Nixa, MO 64804 | 2020-10-22 |
| 1831798792 | Alicia Caroline Baker | Nurse Practitioner | 1070 W 7th St, Washington, MO 63090 | 2020-10-21 |
| 1114526266 | Leslie Desha | Nurse Practitioner | 1109 Pheasant Run, Columbia, MO 65201-6253 | 2020-10-20 |
| Find all providers with the same taxonomy | ||||
| City | MOUND CITY |
| Zip Code | 64470 |
Please comment or provide details below to improve the information on BETHANY RANDLES.
| 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.