MRS. KATELYN BLAKE RANDLES (NPI# 1568884930) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568884930 |
| Entity Type | Individual |
| Full Name | MRS. KATELYN BLAKE RANDLES |
| Other Name | MS. KATELYN BLAKE BRYANT |
| Credential | PA-C |
| Practice Address |
1935 Medical District Dr Dallas TX 75235-7701 |
| Mailing Address |
1935 Medical District Dr F5.06 Dallas TX 75235-7701 |
| Practice Telephone | 2144562331 |
| Mailing Telephone | 2144562341 |
| Mailing Fax Number | 2144566898 |
| Enumeration Date | 2014-01-20 |
| Last Update Date | 2015-02-23 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
TX | Physician Assistants & Advanced Practice Nursing Providers | |
| N | 363AM0700X |
Physician Assistant Specialization: Medical |
Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
1935 MEDICAL DISTRICT DR |
| City | DALLAS |
| State | TX |
| Zip Code | 75235-7701 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689670929 | Donald Ray Cochran | Anesthesiology | 1935 Medical District Dr, Maildrop B3.02, Dallas, TX 75235-7701 | 2005-06-22 |
| 1437759842 | Kira Ann Snyder | Nurse Practitioner | 1935 Medical District Dr, Dallas, TX 75235-7701 | 2020-10-27 |
| 1063011245 | Dana Marie Mckay | Dietitian, Registered | 1935 Medical District Dr, Dallas, TX 75235-7701 | 2020-10-20 |
| 1508472374 | Marcia Michele Seebachan | Social Worker | 1935 Medical District Dr, Dallas, TX 75235-7701 | 2020-09-17 |
| 1811509474 | Zehneel Jiwani | Anesthesiologist Assistant | 1935 Medical District Dr, Dallas, TX 75235-7701 | 2020-08-17 |
| 1477165066 | Deisy R Ybarra | Counselor | 1935 Medical District Dr, Dallas, TX 75235-7701 | 2020-08-17 |
| 1285242933 | Stephanie Lynn Spencer | Nurse Practitioner | 1935 Medical District Dr, Dallas, TX 75235-7701 | 2020-07-20 |
| 1790393627 | Cameron Leigh Keylor | Student in an Organized Health Care Education/Training Program | 1935 Medical District Dr, Dallas, TX 75235-7701 | 2020-07-16 |
| 1689292807 | Coralie Ciceron | Student in an Organized Health Care Education/Training Program | 1935 Medical District Dr, Dallas, TX 75235-7701 | 2020-07-14 |
| 1568070738 | Beth Renae Shell | Registered Nurse | 1935 Medical District Dr, Dallas, TX 75235-7701 | 2020-07-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265058895 | Kailey Elaine Flowers | Physical Therapy Assistant | 2400 Empire Central Drive, Suite B, Dallas, TX 75235 | 2020-06-19 |
| 1265061071 | Bella Xinyi O'malley | Student in an Organized Health Care Education/Training Program | 1935 Medical Drive, Dallas, TX 75235 | 2020-04-03 |
| 1427687318 | Can Ozlu | Student in an Organized Health Care Education/Training Program | Children's Medical Center of Dallas, 1935 Medical Distr, Dallas, TX 75235 | 2020-04-03 |
| 1689137515 | Tarek Mansi | Student in an Organized Health Care Education/Training Program | 2222 Medical District Dr Apt 4325, Dallas, TX 75235 | 2019-04-08 |
| 1386117125 | Christine Elizabeth Smith | Physician Assistant | 8134 Tex Oak Avenue, Dallas, TX 75235 | 2019-01-04 |
| 1447720016 | Michelle Angelina Dye | Physician Assistant | 5959 Maple Avenue Apt 1171, Dallas, TX 75235 | 2018-11-27 |
| 1255869335 | Andrea Nicole Pennington-peace | Specialist/Technologist, Other | 1935 Medial District, Dallas, TX 75235 | 2017-06-01 |
| 1194258152 | Tricia Rood | Student in an Organized Health Care Education/Training Program | 5200 Harry Hines Blvd., Dallas, TX 75235 | 2017-04-06 |
| 1437690971 | Robin Lee | Counselor | 8915 Hrry Hines Blvd, Dallas, TX 75235 | 2017-03-16 |
| 1871033746 | Javier Davila-lopez | Counselor | 1545 Mockingbird Lane, Suite 4000, Dallas, TX 75235 | 2017-02-27 |
| Find all providers in zip 75235 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821641051 | Kelsey Young | Physician Assistant | 12201 Merit Dr Ste 400, Dallas, TX 75251-3117 | 2019-07-17 |
| 1558863555 | Kyra Nicole Logan | Physician Assistant | 221 W Colorado Blvd Pav II Ste. 425, Dallas, TX 75208-7520 | 2018-03-06 |
| 1386169175 | Lauren Moore | Physician Assistant | 5201 Harry Hines Blvd Fl Htower1, Dallas, TX 75235-7708 | 2017-08-14 |
| 1811427594 | Jena Benik | Physician Assistant | 7777 Forest Ln Ste B122, Dallas, TX 75230-6806 | 2017-06-15 |
| 1881123909 | One Healthcare LLC | Physician Assistant | 1722 Routh St Ste 900, Dallas, TX 75201-2588 | 2017-06-12 |
| 1972037307 | Morrison Medical | Physician Assistant | 17746 Preston Rd Ste 100, Dallas, TX 75252-5736 | 2017-04-12 |
| 1205297652 | Keri Miller | Physician Assistant | 9780 Lbj Fwy Ste 124, Dallas, TX 75243-6847 | 2016-03-14 |
| 1275907776 | Aleshia Mutai | Physician Assistant | 5800 E Lovers Ln, Dallas, TX 75206-2901 | 2015-11-20 |
| 1588049613 | Yvonne Conard | Physician Assistant | 2650 Cedar Springs Rd, #5535, Dallas, TX 75201-1495 | 2015-07-30 |
| 1699174599 | John Michael Cline | Physician Assistant | 5201 Harry Hines Boulevard, Psychiatric Emergency Room, Dallas, TX 75235 | 2014-08-15 |
| Find all providers in DALLAS | ||||
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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.