Bethany A Randles (NPI# 1326569559, PAC ID# 2163792292) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
Nation Provider ID (NPI) | 1326569559 |
PAC ID by PECOS | 2163792292 |
Professional Enrollment ID | I20170724001451 |
Full Name | Bethany A Randles |
Organization Legal Name | NORTHWEST HEALTH SERVICES INC |
Address |
503 S 6th St Downtown Health Center Saint Joseph MO 64501-2224 |
Phone Number | 8162338536 |
Gender | F |
Graduation Year | 2017 |
Primary Specialty | NURSE PRACTITIONER |
Group Practice PAC ID | 7113835174 |
Number of Group Practice Members | 30 |
Accepts Medicare Assignment | Y |
Claim Control Number (CCN) | Legal Business Name |
---|---|
261303 | COMMUNITY HOSPITAL ASSOCIATION |
260006 | MOSAIC LIFE CARE AT ST JOSEPH |
Address | Phone | Organization |
---|---|---|
503 S 6th St, Downtown Health Center, Saint Joseph, MO 64501-2224 | 8162338536 | NORTHWEST HEALTH SERVICES INC |
Organization Legal Name | NORTHWEST HEALTH SERVICES INC |
Physicians | 23 |
Name | Specialty | Organization | Address |
---|---|---|---|
Merri C Leach | Registered Dietitian Or Nutrition Professional | Northwest Health Services Inc | 2303 Village Dr, Saint Joseph, MO 64506-4954 |
April I Wamsley | Nurse Practitioner | Northwest Health Services Inc | 303 S Us Hwy 169, Gower, MO 64454-9116 |
Rachel E Lessor | Nurse Practitioner | Northwest Health Services Inc | 5026 Faraon St, Saint Joseph, MO 64506-3375 |
Brittany S Mace | Nurse Practitioner | Northwest Health Services Inc | 5001 Lake Ave, Saint Joseph, MO 64504-1170 |
Darci L Feiden | Nurse Practitioner | Northwest Health Services Inc | 1303 State St, Mound City, MO 64470-1717 |
Francisco J Aleman | Family Medicine | Northwest Health Services Inc | 803 W 71 Hwy, Savannah, MO 64485-1151 |
Kathleen M Davis | Nurse Practitioner | Northwest Health Services Inc | 1515 Saint Joseph Ave, Saint Joseph, MO 64505-2631 |
Debra C Pankau | Nurse Practitioner | Northwest Health Services Inc | 305 Rhode Island St, King City, MO 64463-9622 |
Merlin D Brown | Family Medicine | Northwest Health Services Inc | 2303 Village Dr, Saint Joseph, MO 64506-4954 |
Sarah L Knorr | Nurse Practitioner | Northwest Health Services Inc | 5026 Faraon St, Saint Joseph, MO 64506-3375 |
Street Address |
503 S 6TH ST DOWNTOWN HEALTH CENTER |
City | SAINT JOSEPH |
State | MO |
Zip | 64501-2224 |
Name | Specialty | Organization | Address |
---|---|---|---|
Cassandra A Munoz | Nurse Practitioner | Northwest Health Services Inc | 503 S 6th St, Downtown Health Center, Saint Joseph, MO 64501-2224 |
Helen M Skinner | Nurse Practitioner | Northwest Health Services, Inc. | 503 S 6th St, Downtown Health Center, St Joseph, MO 64501-2224 |
Name | Specialty | Organization | Address |
---|---|---|---|
Adrian R. Hutson | Nurse Practitioner | Metropolis Medical Partners Pa | 811 N 9th St, St Joseph Chateau, Saint Joseph, MO 64501-1651 |
Ronald M Carter | Clinical Social Worker | Samaritan Counseling Center Inc | 902 Edmond St, Suite 203, Saint Joseph, MO 64501-2762 |
Carole V Scott | Clinical Social Worker | Samaritan Counseling Center Inc | 902 Edmond St, Suite 203, Saint Joseph, MO 64501-2762 |
Susan L Shuman | Psychologist, Clinical | Samaritan Counseling Center Inc | 902 Edmond St, Suite 203, Saint Joseph, MO 64501-2762 |
James J Jura Jr. | Psychiatry | Samaritan Counseling Center Inc | 902 Edmond St, Suite 203, Saint Joseph, MO 64501-2762 |
Laura L Willoughby | Nurse Practitioner | Samaritan Counseling Center Inc | 902 Edmond St, Suite 203, Saint Joseph, MO 64501-2762 |
Rebecca M Clymore | Clinical Social Worker | Samaritan Counseling Center Inc | 902 Edmond St, Suite 203, Saint Joseph, MO 64501-2762 |
Charla M Markt | Clinical Psychologist | Samaritan Counseling Center Inc | 902 Edmond St, Suite 203, Saint Joseph, MO 64501-2762 |
Chad Joseph Kelland | Clinical Psychologist | Deer Oaks Mental Health Associates PC | 117 S 15th St, St Jospeh, MO 64501-2904 |
City | SAINT JOSEPH |
Zip Code | 64501 |
Specialty | NURSE PRACTITIONER |
City + Specialty | SAINT JOSEPH + NURSE PRACTITIONER |
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Data Provider | Centers for Medicare & Medicaid Services (CMS) |
Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.