Maura E. Randle, FNP-C

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

AP129510 Issued in TX

Practice address

710 W Leuda St
Fort Worth, TX 76104-3114

Phone

(817) 702-5958

NPI assigned

Jan 20, 2016

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Acclaim Physician Group, Inc

  • Internal Medicine Physician
  • Fort Worth, TX
  • NPI 1780076562
  Medicare reassignment NPD
• Solar Health, P.a.

  • Interventional Pain Medicine Physician
  • Farmers Branch, TX
  • NPI 1376724948
  Medicare reassignment NPD
• Solar Health, P.a.

  • Interventional Pain Medicine Physician
  • Rockwall, TX
  • NPI 1861966327
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1453248000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1575417600000",
    "number": "1043677180",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5540 YELLOWSTONE RD",
            "city": "THE COLONY",
            "state": "TX",
            "postal_code": "750563748",
            "telephone_number": "405-503-4321"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "710 W LEUDA ST",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761043114",
            "telephone_number": "817-702-5958"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "400 W Arbrook Blvd Ste 120",
            "address_purpose": "LOCATION",
            "city": "Arlington",
            "state": "TX",
            "postal_code": "760143175",
            "country_code": "US",
            "telephone_number": "817-522-3672",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RANDLE",
        "first_name": "MAURA",
        "middle_name": "E.",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-01-20",
        "last_updated": "2019-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TX",
            "license": "AP129510",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Janice L Randel, CPNP
• Ekamjeet Randhawa, M.D.
• Celestial Marie Randle
• Cherry Cecilia Randle
• Cynthia Elaine Randle, WHNP
• Anthony Casey Randolph
• Randy L Smith Dba C&R Medical
• Riddhi Rane, MD
• Ann Ranelle, DO
• H William Ranelle, DO

• Nurse Practitioner in Fort Worth, TX
• Providers in Fort Worth, TX by specialty
• Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.