Active NPI
Randibella T Achere, DNP, FNP-C
- Family Nurse Practitioner
- Cedar Hill, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- AP123717
- Practice address
- 630 N Highway 67
Cedar Hill, TX 75104-2156 - Phone
- (469) 745-4472
- Fax
- (888) 571-2370
- NPI assigned
- Aug 23, 2013
- Last updated
- Aug 22, 2024
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | AP123717 | TX | |
| Family Nurse Practitioner | 363LF0000X | AP123717 | TX | Primary |
| Pediatric Nurse Practitioner | 363LP0200X | APRN11017600 | FL |
Addresses
Primary practice location
630 N Highway 67
Cedar Hill, TX 75104-2156
Mailing address
8417 Russell Dr
Rowlett, TX 75089-4841
Phone (469) 745-4472
Medicare participation
Medicare enrollment files- 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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
630 N Hwy 67
Cedar Hill, TX 75104-2156
Phone (469) 745-4472
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AP123717 | TX | MD | Family Nurse Practitioner |
| APRN11017600 | FL | MD | Pediatric Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| At Home Primary Care Doctor | Nurse Practitioner | Current | Accepting new patients |
Locations
630 N Highway 67
Cedar Hill, TX 75104
Phone (469) 745-4472
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.
-
- Family Nurse Practitioner
- Cedar Hill, TX
- NPI 1053194936
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Grand Prairie, TX
- NPI 1508893835
-
- Home Health Agency
- Richardson, TX
- NPI 1578092987
-
dba On Time Home Health Services
- Home Health Agency
- Rowlett, TX
- NPI 1033430459
-
dba Trinity Inspired Home Health Care Agency
- Home Health Agency
- Dallas, TX
- NPI 1801931779
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1377216000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1724284800000",
"number": "1629402896",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8417 RUSSELL DR",
"city": "ROWLETT",
"state": "TX",
"postal_code": "750894841",
"telephone_number": "469-745-4472",
"fax_number": "888-571-2370"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "630 N HIGHWAY 67",
"city": "CEDAR HILL",
"state": "TX",
"postal_code": "751042156",
"telephone_number": "469-745-4472",
"fax_number": "888-571-2370"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ACHERE",
"first_name": "RANDIBELLA",
"middle_name": "T",
"credential": "DNP, FNP-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-08-23",
"last_updated": "2024-08-22",
"certification_date": "2024-08-22",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "TX",
"license": "AP123717",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "TX",
"license": "AP123717",
"primary": true
},
{
"code": "363LP0200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Pediatrics",
"state": "FL",
"license": "APRN11017600",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Cedar Hill, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2024; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.