RANDY L CHRISTENSEN (NPI# 1992892996) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992892996 |
| Entity Type | Individual |
| Full Name | RANDY L CHRISTENSEN |
| Credential | CRNA, PAC |
| Practice Address |
1000 Highway 12 Hettinger ND 58639-7530 |
| Mailing Address |
1100 Highway 12 Hettinger ND 58639-7533 |
| Practice Telephone | 7015674561 |
| Mailing Telephone | 7015676130 |
| Enumeration Date | 2006-10-10 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 363A00000X | Physician Assistant | PAC00010 | ND | Physician Assistants & Advanced Practice Nursing Providers |
| X | 367500000X | Nurse Anesthetist, Certified Registered | R17894 | ND | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ND | 12816 | 05 | |
| ND | BC/BS | 3769 | 01 |
| SIOUX VALLEY | 33906 | 01 | |
| SD | 5754400 | 05 |
| Street Address |
1000 HIGHWAY 12 |
| City | HETTINGER |
| State | ND |
| Zip Code | 58639-7530 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194766485 | Joan Lea Upton | Physical Therapist | 1000 Highway 12, Hettinger, ND 58639-7530 | 2006-06-09 |
| 1225647860 | Rebecca Howe | Nurse Practitioner | 1000 Highway 12, Hettinger, ND 58639-7530 | 2020-07-29 |
| 1639724099 | Ashley Lynn Bostyan | Nurse Practitioner | 1000 Highway 12, Hettinger, ND 58639-7530 | 2019-08-02 |
| 1891206215 | Jacquelyn Ann Hedstrom | Nurse Practitioner | 1000 Highway 12, Hettinger, ND 58639-7530 | 2017-10-12 |
| 1871017616 | Lesley D Kling | Nurse Practitioner | 1000 Highway 12, Hettinger, ND 58639 | 2017-08-02 |
| 1083049431 | Jodi Lynn Wilson | Nurse Practitioner | 1000 Highway 12, Hettinger, ND 58639-7530 | 2013-09-04 |
| 1669793410 | Stacie Marie Wellman | Family Medicine | 1000 Highway 12, Hettinger, ND 58639-7530 | 2010-06-16 |
| 1861623456 | Carrie Ann Kathleen Ranum | Pediatrics | 1000 Highway 12, Hettinger, ND 58639-7530 | 2009-07-31 |
| 1609035120 | Joshua Ranum | Family Medicine | 1000 Highway 12, Hettinger, ND 58639-7530 | 2008-06-09 |
| 1528240694 | West River Health Services | Durable Medical Equipment & Medical Supplies | 1000 Highway 12, Hettinger, ND 58639-7530 | 2007-11-30 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215149984 | Mitchell C. Schultz | Pharmacist | 105 6th St Se, Hettinger, ND 58639 | 2007-05-04 |
| 1861612111 | Gary William Dewhirst | Pharmacist | 305 13th St S, Hettinger, ND 58639 | 2007-04-27 |
| 1649677220 | Liane Ruhland | Social Worker | 609 2nd Ave N, Hettinger, ND 58639-0550 | 2014-11-26 |
| 1154535151 | Susan K Hallen | Pharmacist | 603 N 4th St, Hettinger, ND 58639-0808 | 2007-05-09 |
| 1225145345 | Suzan Jean Hanson | Chiropractor | 117 S. Main, Hettinger, ND 58639-1347 | 2006-08-24 |
| 1174873939 | Kimberly Anne Radig | Pharmacist | 112 S Main St, Hettinger, ND 58639-7031 | 2012-09-19 |
| 1396835237 | White Drug Co of Jamestown Inc | Durable Medical Equipment & Medical Supplies | 112 S Main St, Hettinger, ND 58639-7031 | 2006-10-13 |
| 1902992704 | West River Health Services | Home Health | 700 4th St N, Hettinger, ND 58639-7221 | 2006-10-05 |
| 1043819709 | Laura Lea Lurz Cordes | Technician | 300 11th Ave N, Hettinger, ND 58639-7306 | 2020-10-22 |
| 1659996924 | Encompass Therapy LLC | Clinic/Center | 600 2nd Ave N, Hettinger, ND 58639-7448 | 2020-06-12 |
| Find all providers in zip 58639 | ||||
| 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 |
|---|---|---|---|---|
| 1497354005 | Jessica Lynn O'neal | Physician Assistant | 112 Roaming Rd Apt 1, Minot Afb, ND 58704-1221 | 2020-10-23 |
| 1710473764 | Larissa Ann Haug | Physician Assistant | 1200 Roberts Avenue Ne, Cooperstown, ND 58425-7101 | 2018-07-02 |
| 1205350279 | Jillian Clyburn | Physician Assistant | 5th Medical Group, Bldg #194, 10 Missile Ave, Minot Afb, ND 58704 | 2017-08-01 |
| 1477082097 | Britta Julson | Physician Assistant | 1312 Hwy 49 N Frontage Rd, Beulah, ND 58523 | 2017-06-07 |
| 1033665310 | Caitlyn R Cameron | Physician Assistant | 4110 51st Ave South, Fargo, ND 58104 | 2016-08-28 |
| 1881148906 | Melissa Pytlik Monson | Physician Assistant | 1380 S Columbia Rd - Altru Family Medcine Center, Grand Forks, ND 58201 | 2016-08-05 |
| 1629449418 | Ashton Leigh Hedger | Physician Assistant | 1001 7th St. Ne - Altru Clinic/devils Lake, Devils Lake, ND 58301-2719 | 2015-10-19 |
| 1831430644 | Danielle Rae Anderson | Physician Assistant | 401 N 9th St # T, Bismarck, ND 58501-4530 | 2013-03-05 |
| 1174895833 | Kacie M Brown | Physician Assistant | 1113 Korina Ave Unit A, Grand Forks Afb, ND 58204-1378 | 2012-01-27 |
| 1306123435 | Jamelle Lelito | Physician Assistant | 310 N 9th St Ste 1, Bismarck, ND 58501-4515 | 2011-11-03 |
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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.