Individual provider Active NPI

Randibella T Achere, DNP, FNP-C

  • Family Nurse Practitioner
  • Cedar Hill, TX
National Provider Identifier
1629402896
Registry record updated Aug 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP123717 Issued in TX
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, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140627000693 TX Practitioner - Nurse Practitioner 7315162740 Reassigns benefits to 1 organization

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
At Home Primary Care DoctorGroup PAC ID 0143674507, 2 clinicians

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

LicenseStateTypeSpecialty
AP123717TXMDFamily Nurse Practitioner
APRN11017600FLMDPediatric Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
At Home Primary Care Doctor Nurse Practitioner CurrentSince Aug 15, 2023 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.

Hospital & facility affiliations 5

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": "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

Verify at the official NPI Registry.