Individual provider Active NPI

Randall Edward Tindle, NP FNP

  • Family Nurse Practitioner
  • Chanute, KS
National Provider Identifier
1609368075
Registry record updated Jul 8, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
58-78231-072 Issued in KS
Practice address
505 S Plummer Ave
Chanute, KS 66720-1950
Phone
(620) 431-2500
NPI assigned
Jun 1, 2018
Last updated
Jul 8, 2026By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 58-78231-072 KS Primary
Family Nurse Practitioner 363LF0000X 5878231072 KS

Addresses

Primary practice location

505 S Plummer Ave
Chanute, KS 66720-1950

Mailing address

629 S Plummer Ave
Chanute, KS 66720-1928
Phone (620) 431-2500

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS
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
I20180905002849 KS Practitioner - Nurse Practitioner 0345590725 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

629 S Plummer Ave
Chanute, KS 66720-1928
Phone (620) 433-3838

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
58-78231-072KSMDFamily Nurse Practitioner
5878231072KSMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Neosho Memorial Regional Medical Center Single Specialty Current Accepting new patients
Ashley Clinic, LLC Current Accepting new patients
Neosho Memorial Regional Medical Center CurrentSince Oct 1, 2018 Accepting new patients
Southeast Kansas Mental Health Center Current Accepting new patients
Southeast Kansas Mental Health Center Single Specialty CurrentSince Sep 2, 2023 Accepting new patients
Nmrmc Urology Clinic Single Specialty CurrentSince Oct 1, 2018 Accepting new patients
Ashley Clinic, LLC Single Specialty CurrentSince Sep 7, 2018 Accepting new patients
Ashley Clinic LLC CurrentSince Sep 7, 2018 Accepting new patients

Locations

505 S Plummer Ave
Chanute, KS 66720

629 S Plummer Ave
Chanute, KS 66720
Phone (316) 431-4000

1106 S 9th St
Humboldt, KS 66748
Phone (620) 473-2241

2600 Ottawa Rd
Neodesha, KS 66757
Phone (620) 325-2611

204 S Main St
Yates Center, KS 66783
Phone (620) 625-2162

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/24081/brand/1/csg/1/fhir/r4
  • FHIR API: https://fhir-myrecord.cerner.com/r4/a9daee2a-e42f-4702-9c42-486fbda403f6/

Organizations & group practices 8

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1527811200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783468800000",
    "number": "1609368075",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "629 S PLUMMER AVE",
            "city": "CHANUTE",
            "state": "KS",
            "postal_code": "667201928",
            "telephone_number": "620-431-2500",
            "fax_number": "620-431-1880"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "505 S PLUMMER AVE",
            "city": "CHANUTE",
            "state": "KS",
            "postal_code": "667201950",
            "telephone_number": "620-431-2500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TINDLE",
        "first_name": "RANDALL",
        "middle_name": "EDWARD",
        "name_prefix": "Mr.",
        "credential": "NP FNP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-06-01",
        "last_updated": "2026-07-08",
        "certification_date": "2026-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KS",
            "license": "58-78231-072",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KS",
            "license": "5878231072",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chanute, KS

Sources for this page

Verify at the official NPI Registry.