KIRSTEN RANDALL (NPI# 1689645822) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689645822 |
| Entity Type | Individual |
| Full Name | KIRSTEN RANDALL |
| Credential | D.O. |
| Practice Address |
2100 Erwin Rd Dumc 3094 Durham NC 27705-3941 |
| Practice Telephone | 6236404624 |
| Mailing Telephone | 6236404624 |
| Enumeration Date | 2006-01-27 |
| Last Update Date | 2010-03-26 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207L00000X | Anesthesiology | 20A 10035 | CA | Allopathic & Osteopathic Physicians |
| N | 207L00000X | Anesthesiology | 2009-00663 | NC | Allopathic & Osteopathic Physicians |
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Street Address |
2100 ERWIN RD DUMC 3094 |
| City | DURHAM |
| State | NC |
| Zip Code | 27705-3941 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215930417 | Raymond C Barfield | Pediatrics | 2100 Erwin Rd, Durham, NC 27710-0001 | 2005-05-23 |
| 1477058584 | Natalie Louise Tammen | Physician Assistant | 2100 Erwin Rd, Durham, NC 27705-3941 | 2018-03-29 |
| 1205350691 | Deema Elchoufi | Student in an Organized Health Care Education/Training Program | 2100 Erwin Rd, Durham, NC 27705-3941 | 2017-07-28 |
| 1164965372 | Duke Family Medicine | Preferred Provider Organization | 2100 Erwin Rd, Durham, NC 27705-3941 | 2016-11-21 |
| 1306391560 | Jesslyn Patrice Doody | Physician Assistant | 2100 Erwin Rd, Durham, NC 27705-3941 | 2016-08-17 |
| 1134579147 | Tyler Henderson Knowles | Nurse Anesthetist, Certified Registered | 2100 Erwin Rd, Durham, NC 27705-3941 | 2016-06-21 |
| 1962852665 | David Tallon | Nurse Practitioner | 2100 Erwin Rd, Durham, NC 27705-3941 | 2016-06-14 |
| 1780079608 | Jeanna J Bateson | Physician Assistant | 2100 Erwin Rd, Durham, NC 27705 | 2015-03-30 |
| 1184034431 | Walter F Wiggins | Radiology | 2100 Erwin Rd, Durham, NC 27705-3941 | 2014-05-07 |
| 1629499108 | Joshua Harris | Social Worker | 2100 Erwin Rd, Durham, NC 27705-3941 | 2013-12-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295371755 | Tyler Beach, Lcsw, Pllc | Social Worker | 2740 Spencer Street, Durham, NC 27705 | 2019-11-20 |
| 1720635477 | Brittany W Fry | Registered Nurse | 2301 Erwin Road, Hafs Building, Room 6670, Durham, NC 27705 | 2019-08-19 |
| 1760968044 | Nicole D Moore | Social Worker | 1921 N. Pointe Dr, Suite 280, Durham, NC 27705 | 2018-07-19 |
| 1144757097 | Emileigh S Dowling | Physical Therapist | 3475 Erwin Rd Bldg 2, Durham, NC 27705 | 2017-05-22 |
| 1487195350 | Daniel Lynch | Physical Therapist | 3475 Erwin Road, Pepsico Building, Durham, NC 27705 | 2017-03-13 |
| 1780131839 | Michael A Fitzpatrick Iv | Physical Therapist | 3475 Erwin Rd Bldg 2nd, Durham, NC 27705 | 2016-09-07 |
| 1609241736 | Julia Power Constant | Physician Assistant | Dumc Box 3913, Durham, NC 27705 | 2015-12-01 |
| 1518344159 | Amanda Clark Coniglio | Internal Medicine | 2301 Erwin Rd # 3845, Durham, NC 27705 | 2015-05-04 |
| 1720486988 | Jennifer Dawn Pace | Physician Assistant | 1821 Hillandale Road Suite 24a, Duke Urgent Care, Durham, NC 27705 | 2014-12-19 |
| 1942612106 | Rachel Hibberd | Psychologist | 508 Fulton Avenue, Durham Va Medical Center, Durham, NC 27705 | 2014-05-22 |
| Find all providers in zip 27705 | ||||
| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417555863 | Jessica Gage Thomas | Student in an Organized Health Care Education/Training Program | 100 Stratford Lakes Dr Unit 221, Durham, NC 27713-3479 | 2020-10-16 |
| 1144828310 | Joseph Mccracken | Student in an Organized Health Care Education/Training Program | 12 W Bayberry Ct, Durham, NC 27713-9437 | 2020-10-11 |
| 1841897154 | Andrea Leigh Keever | Student in an Organized Health Care Education/Training Program | 4805 Butler St, Durham, NC 27707-5289 | 2020-10-08 |
| 1902410632 | Lindsey Lee Everett | Student in an Organized Health Care Education/Training Program | 835 Ivy Meadow Ln Apt 3f, Durham, NC 27707-5903 | 2020-09-01 |
| 1205449337 | Kamila Zlotosch | Student in an Organized Health Care Education/Training Program | 6 Hampshire Ave, Durham, NH 03824-1926 | 2020-08-28 |
| 1245843895 | Dima Moussa Ibrahim | Student in an Organized Health Care Education/Training Program | Erwin Road Durham, Durham, NC 27710-0001 | 2020-08-24 |
| 1457960171 | Meaghanelizabeth Viola Berry | Student in an Organized Health Care Education/Training Program | 4225 Larchmont Rd Apt 306, Durham, NC 27707-5972 | 2020-07-28 |
| 1942823505 | Alexis L Webb | Student in an Organized Health Care Education/Training Program | 10 Sandhurst Ct, Durham, NC 27712-9529 | 2020-05-18 |
| 1194347872 | Alyssa Vasquez | Student in an Organized Health Care Education/Training Program | 800 S Duke St, Durham, NC 27701-3902 | 2020-05-15 |
| 1174144349 | Kevin She-wai Chan | Student in an Organized Health Care Education/Training Program | 1501 Catch Fly Ln, Durham, NC 27713-2556 | 2020-04-29 |
| Find all providers in DURHAM | ||||
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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.