Active NPI
Erica S Randall, CPNP-PC
- Pediatric Nurse Practitioner
- Dallas, TX
National Provider Identifier
1205385481
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Nurse Practitioner
- License
- AP131559
- Practice address
- 8330 Abrams Rd Ste 112
Dallas, TX 75243 - Phone
- (214) 342-4400
- Fax
- (214) 342-4401
- NPI assigned
- Sep 28, 2016
- Last updated
- Jul 23, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Nurse Practitioner | 363LP0200X | AP131559 | TX | Primary |
Addresses
Primary practice location
8330 Abrams Rd Ste 112
Dallas, TX 75243
Mailing address
122 W John Carpenter Fwy Ste 420
Irving, TX 75039-2014
Phone (972) 957-3000
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AP131559 | TX | MD | Pediatric Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Topcare Medical PA | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1475020800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1532304000000",
"number": "1205385481",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "122 W JOHN CARPENTER FWY STE 420",
"city": "IRVING",
"state": "TX",
"postal_code": "750392014",
"telephone_number": "972-957-3000",
"fax_number": "972-957-3005"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8330 ABRAMS RD STE 112",
"city": "DALLAS",
"state": "TX",
"postal_code": "75243",
"telephone_number": "214-342-4400",
"fax_number": "214-342-4401"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RANDALL",
"first_name": "ERICA",
"middle_name": "S",
"credential": "CPNP-PC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-09-28",
"last_updated": "2018-07-23",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Pediatrics",
"state": "TX",
"license": "AP131559",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Dallas, TX
- Ranchland 2SP Group, LLC (Home Health Professionals)
- Randall P. Kirby, MD PA
- Randall P. Maydew, M.D.
- Andrew W. Randall, DDS
- Arianna Randall
- Laura Jane Randall, AA
- Randalls Food & Drugs LP (Tom Thumb Pharmacy #3608)
- Randalls Food & Drugs LP (Tom Thumb Pharmacy #3650)
- Randalls Food & Drugs LP (Tom Thumb Pharmacy #3522)
- Randalls Food & Drugs LP (Tom Thumb Pharmacy #1540)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.