MARY RANDELL (NPI# 1760020234) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760020234 |
| Entity Type | Individual |
| Full Name | MARY RANDELL |
| Credential | FNP |
| Practice Address |
1032 Crosswinds Ct Wentzville MO 63385-4836 |
| Mailing Address |
19515 Brune Pkwy Warrenton MO 63383-6505 |
| Practice Telephone | 6363326000 |
| Enumeration Date | 2019-12-16 |
| Last Update Date | 2020-01-06 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
2019039213 | MO | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 19515 Brune Pkwy, Warrenton, MO 633836505 | 6364561500 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528224961 | Mary Frances Randell | Occupational Therapist | 3754 Highway 90, Suite 210, Pace, FL 32571-1096 | 2008-08-05 |
| Street Address |
1032 CROSSWINDS CT |
| City | WENTZVILLE |
| State | MO |
| Zip Code | 63385-4836 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316910987 | Nighat S Qadri | Internal Medicine | 1032 Crosswinds Ct, Wentzville, MO 63385-4836 | 2006-02-13 |
| 1922605575 | Teresa Ray | Counselor | 1032 Crosswinds Ct, Wentzville, MO 63385-4836 | 2020-10-07 |
| 1063027563 | Brittany Anyce Moore | Counselor | 1032 Crosswinds Ct, Wentzville, MO 63385-4836 | 2020-09-11 |
| 1700491495 | Jacqueline Marie Dann | Social Worker | 1032 Crosswinds Ct, Wentzville, MO 63385-4836 | 2020-09-10 |
| 1033720123 | Rebecca A Benes | Social Worker | 1032 Crosswinds Ct, Wentzville, MO 63385-4836 | 2020-08-12 |
| 1831707181 | Leah Norvell | Dentist | 1032 Crosswinds Ct, Wentzville, MO 63385-4836 | 2020-07-22 |
| 1568070324 | Samantha Marie Ackerman | Dentist | 1032 Crosswinds Ct, Wentzville, MO 63385-4836 | 2020-07-17 |
| 1558987016 | Kristen Leigh Wurth | Counselor | 1032 Crosswinds Ct, Wentzville, MO 63385-4836 | 2020-06-22 |
| 1063046142 | Michaela Kathryn Mabry | Social Worker | 1032 Crosswinds Ct, Wentzville, MO 63385-4836 | 2020-02-27 |
| 1134769664 | Joshua Ronald Dunn | Counselor | 1032 Crosswinds Ct, Wentzville, MO 63385-4836 | 2020-01-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235730243 | Jeffery William Ellis | Pharmacist | 1571 Wentzville Parkway, Wentzville, MO 63385 | 2020-11-05 |
| 1487266011 | Jason Wade Moore | Peer Specialist | 5 West Pearce Boulevard, Wentzville, MO 63385 | 2020-08-17 |
| 1265906176 | Montrice M Haynes | Counselor | 500 Medical Dr., Central Intake, Wentzville, MO 63385 | 2019-01-14 |
| 1841718459 | Linda Duree | Counselor | 7105 Whisper Creek Dr, Wentzville, MO 63385 | 2017-09-03 |
| 1811349368 | Sara Kleinlein | Social Worker | 500 Medical Drive, Wentzville, MO 63385 | 2016-07-08 |
| 1275980757 | Teona Moeller | Nurse Practitioner | 1598 West Meyer Dr., Wentzville, MO 63385 | 2016-05-16 |
| 1831561273 | Jay F. Hauser, Dds, PC | Dentist | 11 Wentzville Bluffs Drive, Wentzville, MO 63385 | 2015-10-26 |
| 1720402035 | Shara Kuehl | Speech-Language Pathologist | One Campus Drive, Wentzville, MO 63385 | 2014-02-06 |
| 1336480474 | Simply Loyal In Home and Transport Services LLC | Home Health | 152 Enterprise Dr, Wentzille, MO 63385 | 2013-03-14 |
| 1750641338 | Missouri Dental Professionals, Richard Straus, Dmd, PC | Dentist | 1849 Wentzville Parkway, Wentzville, MO 63385 | 2012-05-17 |
| Find all providers in zip 63385 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285130930 | Tracy Zelphia Shaw-reese | Nurse Practitioner | 24 Birdseye Ct, Wentzville, MO 63385-4677 | 2018-04-02 |
| 1275980757 | Teona Moeller | Nurse Practitioner | 1598 West Meyer Dr., Wentzville, MO 63385 | 2016-05-16 |
| 1215309984 | Lauren Clement | Nurse Practitioner | 4308 Dianna Ln, Wentzville, MO 63385-6242 | 2015-10-21 |
| 1881946358 | Susan M Tellini | Nurse Practitioner | 1520 Wentzville Pkwy, Wentzville, MO 63385-3408 | 2012-10-09 |
| 1831742659 | Rachel Marie Rainey | Nurse Practitioner | 1598 W Meyer Rd, Wentzville, MO 63385-3653 | 2019-07-21 |
| 1447766233 | Jennifer Ann Staggs | Nurse Practitioner | 1021 Wentzville Pkwy, Wentzville, MO 63385-3437 | 2017-12-16 |
| 1235640582 | Gina Bertini Theisen | Nurse Practitioner | 1603 Wentzville Pkwy, Wentzville, MO 63385-3826 | 2017-10-13 |
| 1861937930 | Dana M Fulton | Nurse Practitioner | 1413 Wentzville Pkwy, Wentzville, MO 63385-3407 | 2016-12-28 |
| 1215487863 | Rachel Leigh Landgraf | Nurse Practitioner | 1520 Wentzville Pkwy, Wentzville, MO 63385-3408 | 2016-10-06 |
| 1457800468 | Theresa Spakowski | Nurse Practitioner | 1032 Crosswinds Ct, Wentzville, MO 63385-4836 | 2016-10-03 |
| Find all providers in WENTZVILLE | ||||
| City | WENTZVILLE |
| Zip Code | 63385 |
Please comment or provide details below to improve the information on MARY RANDELL.
| 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.