MR. RANDALL EDWARD TINDLE (NPI# 1609368075) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609368075 |
| Entity Type | Individual |
| Full Name | MR. RANDALL EDWARD TINDLE |
| Credential | NP FNP |
| Practice Address |
2600 Ottawa Rd Neodesha KS 66757-1897 |
| Practice Telephone | 6203252611 |
| Mailing Telephone | 6203252611 |
| Enumeration Date | 2018-06-01 |
| Last Update Date | 2018-06-01 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363LF0000X |
Nurse Practitioner Specialization: Family |
58-78231-072 | KS | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
5878231072 | KS | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
2600 OTTAWA RD |
| City | NEODESHA |
| State | KS |
| Zip Code | 66757-1897 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669441176 | Wilson County Hospital | General Acute Care Hospital | 2600 Ottawa Rd, Neodesha, KS 66757-1897 | 2006-03-16 |
| 1285292680 | Kristopher E Kuszak | Student in an Organized Health Care Education/Training Program | 2600 Ottawa Rd, Neodesha, KS 66757-1897 | 2019-05-31 |
| 1164889630 | Cancer Center of Kansas, Pa | Internal Medicine | 2600 Ottawa Rd, Neodesha, KS 66757-1897 | 2016-01-28 |
| 1427414416 | Rebecca Rhone | Nurse Practitioner | 2600 Ottawa Rd, Pob 360, Neodesha, KS 66757-1897 | 2016-01-07 |
| 1043652217 | Lisa Lynn Johnson | Nurse Practitioner | 2600 Ottawa Rd, Neodesha, KS 66757-1897 | 2013-07-29 |
| 1003164872 | Sek Primary Care Assoc, LLC | Family Medicine | 2600 Ottawa Rd, Suite 101, Neodesha, KS 66757-1897 | 2012-08-27 |
| 1992842942 | Wilson County Hospital | Nurse Anesthetist, Certified Registered | 2600 Ottawa Rd, Neodesha, KS 66757-1897 | 2007-01-31 |
| 1760407407 | Wilson County Hospital | Medicare Defined Swing Bed Unit | 2600 Ottawa Rd, Neodesha, KS 66757-1897 | 2006-07-13 |
| 1902855661 | Amy Renae Cunningham | Family Medicine | 2600 Ottawa Rd, Ste101, Neodesha, KS 66757-1897 | 2006-05-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205091378 | Aric Chandler Ross | Respiratory Therapist, Certified | 1943 Ottawa Rd, Neodesha, KS 66757 | 2008-07-28 |
| 1154543981 | Grene Vision Group LLC | Ophthalmology | 611 N Main, Neodesha, KS 66757 | 2007-05-02 |
| 1225155799 | New Beginnings Enterprises | Case Management | 1001 Wilson, Neodesha, KS 66757 | 2007-03-22 |
| 1679524771 | Ggnsc Neodesha LLC | Skilled Nursing Facility | 1626 N 8th St, Neodesha, KS 66757-1239 | 2006-05-13 |
| 1760031751 | Neodesha Operator, LLC | Skilled Nursing Facility | 1626 N 8th St, Neodesha, KS 66757-1239 | 2019-09-11 |
| 1265991616 | Darla Hoard | Occupational Therapy Assistant | 1626 N 8th St, Neodesha, KS 66757-1239 | 2019-03-15 |
| 1659828598 | Neodesha Care and Rehabilitation Center, LLC | Skilled Nursing Facility | 1626 N 8th St, Neodesha, KS 66757-1239 | 2016-09-08 |
| 1912244294 | Jackie F Reding | Physical Therapy Assistant | 1626 N 8th St, Neodesha, KS 66757-1239 | 2013-01-07 |
| 1821347956 | Roxie Nicole Drawdy | Speech-Language Pathologist | 1626 N 8th St, Neodesha, KS 66757-1239 | 2012-09-05 |
| 1689755522 | Medicalodges, Inc. | Home Health | 400 Fir St, Neodesha, KS 66757-1298 | 2006-10-18 |
| Find all providers in zip 66757 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528062262 | Jeanette Marlene Weiser | Nurse Practitioner | 709 Main, Neodesha, KS 66757-1634 | 2005-06-10 |
| 1043652217 | Lisa Lynn Johnson | Nurse Practitioner | 2600 Ottawa Rd, Neodesha, KS 66757-1897 | 2013-07-29 |
| 1538444500 | Toni Alecia Adams | Nurse Practitioner | 919 Main St, Neodesha, KS 66757-1636 | 2011-10-20 |
| 1548372881 | Antoinette Marie Barnhart | Nurse Practitioner | 806 Main St, Neodesha, KS 66757-1673 | 2006-08-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275132136 | Tina Peck | Nurse Practitioner | 2250 N Rock Rd # 118-266, Wichita, KS 67226-2331 | 2020-10-21 |
| 1407455496 | Edward Mwaura Karanja | Nurse Practitioner | 9121 Schweiger Ct Apt 257, Lenexa, KS 66219-2126 | 2020-10-20 |
| 1467051680 | Debra Kim Lietzke | Nurse Practitioner | 4900 N 126th St, Kansas City, KS 66109-5121 | 2020-10-19 |
| 1487252490 | Angela Lanae Spence | Nurse Practitioner | 618 Garfield St, Clay Center, KS 67432-1823 | 2020-10-12 |
| 1073110482 | Jamely Olaechea | Nurse Practitioner | 8205 E Old Mill Ct, Wichita, KS 67226-4217 | 2020-10-08 |
| 1427655414 | Trent Dylan Befort | Nurse Practitioner | 1012 Green St, Pratt, KS 67124-1311 | 2020-10-03 |
| 1083211031 | Amanda Pierce | Nurse Practitioner | 8717 W 110th St Ste 270, Overland Park, KS 66210-2103 | 2020-10-02 |
| 1902412117 | Davina Rues | Nurse Practitioner | 3876 N Woodlawn Blvd Ste 400, Wichita, KS 67220-2057 | 2020-09-22 |
| 1588270037 | Janie Phillips | Nurse Practitioner | 330 N Vassar St, Wichita, KS 67208-3219 | 2020-09-21 |
| 1437765013 | Anjali Giri | Nurse Practitioner | 9100 E Harry St Apt 1403, Wichita, KS 67207-4850 | 2020-09-19 |
| Find all providers with the same taxonomy | ||||
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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.