MICHELLE RANDALL (NPI# 1629552302) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629552302 |
| Entity Type | Individual |
| Full Name | MICHELLE RANDALL |
| Credential | PA-C |
| Practice Address |
3801 Blue Pkwy Kansas City MO 64130-2807 |
| Practice Telephone | 8169235800 |
| Enumeration Date | 2018-09-19 |
| Last Update Date | 2019-11-16 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 2018029800 | MO | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689286205 | Michelle Randall | Pharmacist | 1731 Spring Hill Ave, Mobile, AL 36604-1402 | 2020-08-17 |
| 1407489040 | Michelle Randall | Occupational Therapist | 5006 Copper Ave Ne, Albuquerque, NM 87108-1301 | 2020-02-21 |
| 1265962492 | Michelle Lynn Randall | Physical Therapy Assistant | 512 Crescent Dr, Troy, OH 45373-2718 | 2017-06-20 |
| 1801194857 | Michelle Sabrina Randall | Counselor | 5965 S 900 E, Salt Lake City, UT 84121-1720 | 2011-02-28 |
| 1760640197 | Michelle Patrice Randall | Social Worker | 1430 Olive St, Saint Louis, MO 63103-2303 | 2008-06-02 |
| 1730156662 | Michelle Marie Randall | Physical Therapy Assistant | 41 6th Ave, Greenville, PA 16125-9723 | 2006-02-28 |
| Street Address |
3801 BLUE PKWY |
| City | KANSAS CITY |
| State | MO |
| Zip Code | 64130-2807 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033116058 | Otis S Latimer Sr. | Internal Medicine | 3801 Blue Pkwy, Kansas City, MO 64130-2807 | 2005-07-05 |
| 1407453178 | Kelly R. Phillips | Social Worker | 3801 Blue Pkwy, Kansas City, MO 64130-2807 | 2020-10-06 |
| 1730786682 | Donnica Miller | Nurse Practitioner | 3801 Blue Pkwy, Kansas City, MO 64130-2807 | 2020-10-05 |
| 1578170692 | Mindy Lynn Thomas | Nurse Practitioner | 3801 Blue Pkwy, Kansas City, MO 64130-2807 | 2020-09-24 |
| 1699380147 | James Jamaal Mourning | Social Worker | 3801 Blue Pkwy, Kansas City, MO 64130-2807 | 2020-09-11 |
| 1457960296 | Renee Loenen | Registered Nurse | 3801 Blue Pkwy, Kansas City, MO 64130-2807 | 2020-07-28 |
| 1669016424 | Lindsey Ackerson | Nurse Practitioner | 3801 Blue Pkwy, Kansas City, MO 64130-2807 | 2019-11-04 |
| 1861044737 | Senait E Gebreab | Nurse Practitioner | 3801 Blue Pkwy, Kansas City, MO 64130-2807 | 2019-07-11 |
| 1720640782 | Christopher S Jozwick | Nurse Practitioner | 3801 Blue Pkwy, Kansas City, MO 64130-2807 | 2019-06-30 |
| 1174081715 | Tara Johnson | Nurse Practitioner | 3801 Blue Pkwy, Kansas City, MO 64130-2807 | 2019-03-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154979532 | Jaiesha Releford | Home Health | 2403 E 49th St, Kansas City, MO 64130 | 2019-08-29 |
| 1932662335 | Roche' Burrell | Licensed Practical Nurse | 5221 Prospect Ave, Kansas City, MO 64130 | 2019-04-11 |
| 1154889947 | Laura Mizell | Social Worker | 3801 Blue Pwky, Kansas City, MO 64130 | 2019-03-11 |
| 1548789597 | Gifted Hands- Talented Minds | Clinic/Center | 3211 E. 60th Street, Kansas City, MO 64130 | 2017-09-11 |
| 1477083129 | Laura Kay Hyland | Registered Nurse | 5931 Swope Parkway, Kansas City, MO 64130 | 2017-06-15 |
| 1518407493 | Dialysis Clinic Inc | Clinic/Center | 2715 Swope Pkwy, Kansas City, MO 64130 | 2017-02-27 |
| 1790079291 | Zaron F. Kanion/myers Dental Clinic Dds, PC | Dentist | 5240 Prospect, Kansas City, MO 64130 | 2011-06-02 |
| 1235436593 | Omonosa Transportation and Social Services LLC | Meals | 4311 Prospect Ave, Kansas City, MO 64130 | 2011-02-23 |
| 1871826461 | All Families Health Center, LLC | Family Medicine | 4301 Cleveland Ave, Kansas City, MO 64130 | 2009-09-14 |
| 1922210442 | Trena Mae Leiter | Dentist | 3801 Blue Parkway, Kansas City, MO 64130 | 2007-05-04 |
| Find all providers in zip 64130 | ||||
| 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 |
|---|---|---|---|---|
| 1477174944 | Sarah Christenson | Physician Assistant | 4515 Walnut St Apt 221d, Kansas City, MO 64111-7731 | 2020-05-06 |
| 1962023341 | Kaitlin Nicole Sutten | Physician Assistant | 6711 Nw Evelyn St, Kansas City, MO 64151-2115 | 2020-04-27 |
| 1255979613 | Michael Raymond Floyd Coody | Physician Assistant | 15 W 10th St Apt 1203, Kansas City, MO 64105-1895 | 2019-12-17 |
| 1437706652 | Hannah Marie Mentjes | Physician Assistant | 5004 Walnut St, Kansas City, MO 64112-2757 | 2019-08-22 |
| 1063981272 | Heather Howell | Physician Assistant | 10940 Parallel Pkwy Ste M, Kansas City, KS 66109-4515 | 2018-11-16 |
| 1194211144 | Nicholas Maxwell | Physician Assistant | 5330 N Oak Trfy Ste 201, Kansas City, MO 64118-4600 | 2018-07-02 |
| 1750873741 | Chelsea Johanson | Physician Assistant | 1901 Rainbow Blvd, Kansas City, KS 66160-0001 | 2018-06-05 |
| 1235685975 | Stacey Schultz | Physician Assistant | 5330 North Oak Trfwy, Suite 201, Kansas City, MO 64118-4600 | 2016-09-01 |
| 1386096980 | Colleen Marie Sommer | Physician Assistant | 3901 Rainbow Blvd Level 3 Otolaryngology, Kansas City, KS 66160-0001 | 2016-07-07 |
| 1730500265 | Meghan L Fraley | Physician Assistant | 5844 Nw Barry Rd Ste 340, Kansas City, MO 64154-1402 | 2013-12-31 |
| Find all providers in KANSAS CITY | ||||
| City | KANSAS CITY |
| Zip Code | 64130 |
Please comment or provide details below to improve the information on MICHELLE 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.