Individual provider Active NPI

Randi Stechschulte, NP

  • Family Nurse Practitioner
  • Piedmont, MO
National Provider Identifier
1467236265
Registry record updated Aug 22, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
2023034272 Issued in MO
Practice address
1 Hals PLZ Ste a
Piedmont, MO 63957-1631
Phone
(573) 223-4800
NPI assigned
Aug 22, 2023
Last updated
Aug 22, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 2023034272 MO Primary

Addresses

Primary practice location

1 Hals PLZ Ste a
Piedmont, MO 63957-1631

Mailing address

5912 Loughborough Ave Apt 1N
Saint Louis, MO 63109-3619
Phone (740) 512-6787

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
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

Enrollment IDStateProvider typePAC IDDetails
I20231116001068 MO Practitioner - Nurse Practitioner 7911354709 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
2023034272MOMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Big Springs Medical Association Current Accepting new patients
Big Springs Medical Association CurrentSince Nov 1, 2023 Accepting new patients
Big Springs Medical Association CurrentSince Nov 1, 2023 Accepting new patients
Big Springs Medical Association Past Accepting new patients
Ozarks Medical Center Past Accepting new patients

Locations

110 S 2nd St
Ellington, MO 63638
Phone (573) 663-2316

1 Hals Plz
Piedmont, MO 63957
Phone (573) 223-4800

1 Hals Plz
Ste A
Piedmont, MO 63957
Phone (573) 223-4800

Organizations & group practices 5

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": "1692662400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692662400000",
    "number": "1467236265",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5912 LOUGHBOROUGH AVE APT 1N",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631093619",
            "telephone_number": "740-512-6787"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 HALS PLZ STE A",
            "city": "PIEDMONT",
            "state": "MO",
            "postal_code": "639571631",
            "telephone_number": "573-223-4800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STECHSCHULTE",
        "first_name": "RANDI",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-08-22",
        "last_updated": "2023-08-22",
        "certification_date": "2023-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MO",
            "license": "2023034272",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Piedmont, MO

Sources for this page

Verify at the official NPI Registry.