JANICE L RANDEL CPNP NPI 1023096963

NPI Information

NPI: 1023096963
Provider Name: JANICE L RANDEL, CPNP
Classification: Nurse Practitioner - 363LP0200X
Entity Type: Individual

Specialization: Pediatrics

PECOS Registration: Yes

Address:
1500 COOPER ST
FORT WORTH, TX
ZIP 76104
Phone: (682) 885-2140
Get Directions

Janice L Randel, CPNP is a pediatrics nurse practitioner in Fort Worth, TX. Janice L Randel, CPNP NPI is 1023096963. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1500 COOPER ST
FORT WORTH, TX
ZIP 76104-710
Phone: (682) 885-2140
Fax: (817) 332-2506

The NPI 1023096963 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Power Mobility Devices.

The enumeration date for this NPI number is 12/30/2005 and was last updated on 4/13/2012.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LP0200X	Nurse Practitioner	Pediatrics	550916	TEXAS	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	8L23164	MEDICARE OSCAR/CERTIFICATION	TEXAS
2	208265303	MEDICAID	TEXAS
3	TXB140416	MEDICARE PIN	TEXAS
4	208265304	OTHER	TEXAS	CSHCN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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