Tyler William Randall

Nurse Practitioner | 6+ years Exp

1338 Phay Ave, Canon City
  Colorado, 81212-2311
719-285-2000
Accepts Medicare Nurse Anesthetist in Canon City, Colorado.
Tyler William Randall is a Canon City, Colorado based nurse practitioner with 6 years of experience in . He completed his graduation in 2019. and . He accepts the Medicare-approved amount. Patients will not be billed for any more than the Medicare deductible and coinsurance. Active license number of Tyler William Randall is APN.0994692-NP for Family in Colorado. His current practice location is 1338 Phay Ave, Canon City. Patients can reach him at 719-285-2000 and his NPI number (Unique professional ID assigned by NPPES) is 1780241794.
Tyler William Randall has completed additional training beyond basic nursing education and provides primary health care services in accordance with state nurse practice laws or statutes. NPs are trained to assess patient needs, order and interpret diagnostic and laboratory tests, diagnose disease, formulate and prescribe medications and treatment plans.
Complete Profile:
Tyler William Randall speciality, credentials, practice address, contact phone number and fax are as below. Patients can call on the below given phone number for appointment.
Name: Tyler William Randall
Specialization: Nurse Practitioner (NP)
Gender:Male
Experience: 6+ years
Medical School Attended:Other
Graduation Year:2019
Accepts Medicare Assignment:Yes
Practice Address:1338 Phay Ave, Canon City,
Colorado, 81212-2311
Phone:719-285-2000
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
PAC ID: 8921337544
Enrollment ID: I20220629003960
NPI Number: 1780241794
NPI Enumeration Date: 24 May, 2019
NPI Last Update On: 19 Jun, 2024

Medical Licenses:
NPs can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Tyler William Randall are as mentioned below.
License NumberSpecializationStateStatus
APN.0994692-NPFamily ColoradoPrimary
AP61177225Nurse Practitioner WashingtonSecondary
AP61177225Family WashingtonSecondary
Hospital Affiliation:
NPs can be affiliated to many hospitals whom they worked with in the past or are presently working with. One NP can be affiliated to four to five hospitals at a time.
Hospital Name (CCN) State Hospital Type
(340144)Statesville, NCAcute Care Hospital
(500030)Bellingham, WAAcute Care Hospital
Group Practice:
Group practices are practice of medicine by a group of NPs who share their premises and other resources. Following list states all the group name with which Tyler William Randall is associated with along with the number of members in that group.
Organization Name (Group PAC ID) Members
Lake Norman Inpatient Specialists (7315241338)19
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address: Tyler William Randall
Po Box 911057,
Denver, Colorado
Zip: 80291-1057
Phone Number: 800-953-0104
Fax Number: 303-765-6640
Patients can reach Tyler William Randall at 1338 Phay Ave, Canon City, Colorado or can call to book an appointment on 719-285-2000.
Comments/ Reviews:

Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 13 January, 2025.