Individual provider Active NPI

Janet Eileen Randolph, CRNA

  • Certified Registered Nurse Anesthetist
  • Dallas, TX
National Provider Identifier
1245216167
Registry record updated Nov 25, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
234554 Issued in TX
Practice address
5353 Harry Hines Blvd
Dallas, TX 75390-7201
Phone
(214) 648-6400
Fax
(214) 648-5461
NPI assigned
Dec 22, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 25, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X 234554 TX Primary

Addresses

Primary practice location

5353 Harry Hines Blvd
Dallas, TX 75390-7201

Mailing address

PO Box 845347
Dallas, TX 75284-5347
Phone (469) 291-3369

Other identifiers 4

IdentifierTypeStateIssuer
155264803MedicaidTX
85321UOtherTXBLUE CROSS BLUE SHIELD
P00265380OtherTXRAILROAD
155264805MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, SC2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20041006001317 TX Practitioner - Certified Registered Nurse Anesthetist (Crna) 1951360882 Reassigns benefits to 5 organizations
I20200608003094 SC Practitioner - Certified Registered Nurse Anesthetist (Crna) 1951360882 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse

State licenses

LicenseStateTypeSpecialty
23866SCMDAnatomic Pathology & Clinical Pathology Physician
234554TXMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
The University of Texas Southwestern Medical Center at Dallas CurrentSince Oct 19, 2020 Accepting new patients
University of Texas Southwestern Medical Center at Dallas Current Accepting new patients
Atlantic Coast Anesthesia Services P.C. Nurse Anesthetist, Certified Registered CurrentSince Jun 1, 2020 Accepting new patients
Northstar Anesthesia, PA Nurse Anesthetist, Certified Registered CurrentSince Feb 4, 2020 Accepting new patients
Endo Sedation LLC Nurse Anesthetist, Certified Registered Current Accepting new patients
Physician Partners of America Crna Operations LLC Nurse Anesthetist, Certified Registered CurrentSince Jun 17, 2025 Accepting new patients
Texas Pain Relief Group PLLC CurrentSince Oct 10, 2023 Accepting new patients
Endo Sedation LLC Nurse Anesthetist, Certified Registered CurrentSince Aug 2, 2023 Accepting new patients
Texas Pain Relief Group, PLLC CurrentSince Oct 10, 2023 Accepting new patients
Endo Sedation LLC Nurse Anesthetist, Certified Registered CurrentSince Aug 2, 2023 Accepting new patients
University of Texas Southwestern Medical Center at Dallas Nurse Anesthetist, Certified Registered CurrentSince Oct 19, 2020 Accepting new patients
Utmb Faculty Group Practice CurrentSince Apr 17, 2023 Accepting new patients
Anesthesiology Consultants of Houston PLLC Nurse Anesthetist, Certified Registered Past Accepting new patients
North Texas Anesthesiology,PLLC PastSince Jul 10, 2006 Accepting new patients
R Lee Ennis MD PA Past Accepting new patients
Acs Primary Care Physicians Southwest, PA Past Accepting new patients

Locations (25 of 29)

1021 Cipriana Dr
Ste 100
Myrtle Beach, SC 29572
Phone (843) 449-7885

981 State Highway 121
Ste 2100
Allen, TX 75013
Phone (214) 383-8210

2020 E Highway 6
Alvin, TX 77511
Phone (281) 585-2530

132 E Hospital Dr
Angleton, TX 77515
Phone (210) 629-3866

4343 N Josey Ln
Carrollton, TX 75010
Phone (972) 394-2280

3600 Gaston Ave
Ste 360
Dallas, TX 75246
Phone (214) 820-7246

5151 Harry Hines Blvd
Dallas, TX 75235
Phone (214) 590-3000

3500 Gaston Ave
Ste 360
Dallas, TX 75246

6201 Harry Hines Blvd
Dallas, TX 75235
Phone (214) 633-4700

5353 Harry Hines Blvd
Dallas, TX 75390
Phone (214) 537-9441

3000 N Interstate 35
Denton, TX 76201
Phone (469) 303-3591

1001 Surrey Ln
Flower Mound, TX 75022
Phone (817) 337-3671

7200 Oakmont Blvd
Fort Worth, TX 76132
Phone (817) 732-3300

909 9th Ave
Ft Worth, TX 76104
Phone (817) 336-6060

301 University Blvd
Galveston, TX 77555
Phone (409) 747-1883

2300 Marie Curie Dr
Garland, TX 75042
Phone (972) 487-5000

1917 Ashland St
Houston, TX 77008
Phone (713) 861-6161

6560 Fannin St
Ste 600
Houston, TX 77030
Phone (713) 796-0500

8850 Long Point Rd
Houston, TX 77055
Phone (713) 467-6555

1717 Precinct Line Rd
Ste 200
Hurst, TX 76054
Phone (817) 369-3990

1717 Precinct Line Rd
Ste 101
Hurst, TX 76054
Phone (817) 369-3995

701 Tuscan Dr
Ste 100
Irving, TX 75039
Phone (214) 496-1100

511 Park Grove Dr
Katy, TX 77450
Phone (281) 398-7001

4500 Medical Center Dr
McKinney, TX 75069
Phone (972) 547-8190

6200 W Parker Rd
Plano, TX 75093
Phone (972) 608-8000

Organizations & group practices 16

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.

View all 16

NPI Registry JSON

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

{
    "created_epoch": "1135209600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1606262400000",
    "number": "1245216167",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 845347",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752845347",
            "telephone_number": "469-291-3369",
            "fax_number": "214-645-0078"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5353 HARRY HINES BLVD",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "753907201",
            "telephone_number": "214-648-6400",
            "fax_number": "214-648-5461"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RANDOLPH",
        "first_name": "JANET",
        "middle_name": "EILEEN",
        "name_prefix": "Ms.",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-12-22",
        "last_updated": "2020-11-25",
        "certification_date": "2020-11-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "TX",
            "license": "234554",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "155264803",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "85321U",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD",
            "identifier": "P00265380",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "155264805",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.