KATHI SALLEY RANDALL (NPI# 1982734711) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982734711 |
| Entity Type | Individual |
| Full Name | KATHI SALLEY RANDALL |
| Credential | RNC, MSN, CNS, NNP |
| Practice Address |
28141 Belleterre Ave Moreno Valley CA 92555-6223 |
| Practice Telephone | 9095584403 |
| Mailing Telephone | 9095584403 |
| Enumeration Date | 2007-03-07 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 363LN0005X |
Nurse Practitioner Specialization: Neonatal, Critical Care |
504615 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| X | 364SN0000X |
Clinical Nurse Specialist Specialization: Neonatal |
1392 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
28141 BELLETERRE AVE |
| City | MORENO VALLEY |
| State | CA |
| Zip Code | 92555-6223 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043817935 | Jillian Mika Ogata | Social Worker | Riverside University Health System, 26520 Cactus Ave., Moreno Valley, CA 92555 | 2020-10-05 |
| 1114549144 | Providence Recovery Centers, Inc. | Substance Abuse Rehabilitation Facility | 11165 Bonnie View Ave, Moreno Valley, CA 92555 | 2020-05-13 |
| 1720645096 | Shahida Nawaz | Non-emergency Medical Transport (VAN) | 26528 Primrose Way, Moreno Valley, CA 92555 | 2019-05-22 |
| 1679139828 | Moses Lee | Student in an Organized Health Care Education/Training Program | Department of Orthopaedic Surgery Rm. B2042 Ruhs-mc, 26520 Cactus Ave., Moreno Valley, CA 92555 | 2019-05-14 |
| 1215419668 | Johannes Wattimena | Counselor | 26624 Saffron Circle, Moreno Valley, CA 92555 | 2018-09-02 |
| 1437676939 | Aleksandra Vargas | Behavioral Analyst | 12549 Atherton Dr, Moreno Valley, CA 92555 | 2017-08-25 |
| 1063938603 | Anthony I Odimegwu | Nurse Practitioner | 26062 Bercaw Ct, Moreno Valley, CA 92555 | 2017-08-16 |
| 1073036703 | Karen Parker | Licensed Psychiatric Technician | 12944 Dolomite Lane, Moreno Valley, CA 92555 | 2017-07-25 |
| 1861923674 | Elena Vizcaino | Behavior Technician | 15670 Turnberry St, Moreno Valley, CA 92555 | 2017-03-23 |
| 1154744522 | Nancy Chivichon | Dietitian, Registered | 28648 Avenue Ave., Moreno Valley, CA 92555 | 2014-01-21 |
| Find all providers in zip 92555 | ||||
| Taxonomy Code | 363LN0005X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Neonatal, Critical Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013542471 | Jami Stehlin | Nurse Practitioner | 501 S. Buena Vista St. 3ne, Burbank, CA 91505 | 2020-03-06 |
| 1164881108 | Ana Lisa Borkowski | Nurse Practitioner | 11234 Anderson St # Mc6700h, Loma Linda, CA 92354-2804 | 2016-02-18 |
| 1598186371 | Colleen Jehning Donovan | Nurse Practitioner | 2051 Marengo St., Nicu, Los Angeles, CA 90033 | 2013-12-23 |
| 1770824740 | Ann Stein | Nurse Practitioner | 757 Medical Plz, Los Angeles, CA 90095-0001 | 2013-03-15 |
| 1699036756 | Ivette Syra Jackson | Nurse Practitioner | 8700 Beverly Blvd # 4311, West Hollywood, CA 90048-1804 | 2012-06-06 |
| 1508126251 | Jennie W Chu | Nurse Practitioner | 1000 W Carson Street, Harbor-ucla Medical Center, Neonatology, Department of Pediatrics, Torrance, CA 90502-2004 | 2012-05-29 |
| 1467775908 | Emi Kotoh | Nurse Practitioner | 4650 W. Sunset Blvd Ms #31, Los Angeles, CA 90027 | 2010-03-11 |
| 1598094286 | Ancy Abraham | Nurse Practitioner | 4650 W Sunset Blvd # 31, Los Angeles, CA 90027-6062 | 2009-12-09 |
| 1134280746 | Deborah Ann Eveland | Nurse Practitioner | 275 West Macarthur Blvd, Oakland, CA 94611 | 2006-12-13 |
| 1699861468 | Deborah M Camara | Nurse Practitioner | 501 S. Buena Vista St., Burbank, CA 91505 | 2006-10-05 |
| Find all providers with the same taxonomy | ||||
| City | MORENO VALLEY |
| Zip Code | 92555 |
Please comment or provide details below to improve the information on KATHI SALLEY RANDALL.
| 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.