Active NPI
Randy E Presley, MSN
- Nurse Practitioner
- Austin, TX
National Provider Identifier
1982762332
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- AP119260
- Practice address
- 7610 Hwy 71 West
Suite F
Austin, TX 78735 - Phone
- (281) 412-4434
- Fax
- (901) 322-6083
- NPI assigned
- Dec 5, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | AP119260 | TX | Primary |
Addresses
Primary practice location
7610 Hwy 71 West
Suite F
Austin, TX 78735
Mailing address
7610 Hwy 71 West
Suite F
Austin, TX 78735
Phone (281) 412-4434
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3374195 | Medicaid | TN | |
| 4055168 | Other | TN | BCBS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Master of Science - Nursing, Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Monumental Redevelopment Corporation | Past | Accepting new patients | |
| Health Link | Past | Accepting new patients | |
| Healthy Choices of TN | Nurse Practitioner | Past | Accepting new patients |
Organizations & group practices 3
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.
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- Multi-Specialty Clinic/Center
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- NPI 1346474970
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165276800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1421193600000",
"number": "1982762332",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7610 HWY 71 WEST",
"address_2": "SUITE F",
"city": "AUSTIN",
"state": "TX",
"postal_code": "78735",
"telephone_number": "281-412-4434",
"fax_number": "901-322-6083"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7610 HWY 71 WEST",
"address_2": "SUITE F",
"city": "AUSTIN",
"state": "TX",
"postal_code": "78735",
"telephone_number": "281-412-4434",
"fax_number": "901-322-6083"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PRESLEY",
"first_name": "RANDY",
"middle_name": "E",
"credential": "MSN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-12-05",
"last_updated": "2015-01-14",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "TX",
"license": "AP119260",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3374195",
"state": "TN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "4055168",
"state": "TN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Austin, TX
- Presbyterian Children'S Homes and Services
- Prescott Limb & Braces Inc
- Bethany Prescott, M.A., L.P.C.
- Jordan Prescott
- Kimberly Hope Preslar, MS, CCC-SLP
- Katherine Elizabeth Presnell, PH.D.
- Lindsey Michelle Pressel, PMHNP
- Crystal Ann Pressley, APRN, FNP - BC
- Jill Pressley, MA
- Travis James Pressley, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.