KIMBERLY JEAN RADAI (NPI# 1174585517) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174585517 |
| Entity Type | Individual |
| Full Name | KIMBERLY JEAN RADAI |
| Credential | PA-C |
| Practice Address |
1020 New River Pkwy Ste 200 Fallon NV 89406 |
| Mailing Address |
Po Box 3046 Malvern PA 19355-0746 |
| Practice Telephone | 7754282633 |
| Practice Fax Number | 7754282630 |
| Mailing Telephone | 7754282633 |
| Mailing Fax Number | 7754282630 |
| Enumeration Date | 2006-04-03 |
| Last Update Date | 2018-06-22 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | PA880 | NV | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NV | 1174585517 | 05 |
| Street Address |
1020 NEW RIVER PKWY STE 200 |
| City | FALLON |
| State | NV |
| Zip Code | 89406 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437128873 | Vivian L Graham | Physician Assistant | 1020 New River Pkwy Ste 200, Fallon, NV 89406-7801 | 2006-03-17 |
| 1295795177 | Eric Francis Herzog | Family Medicine | 1020 New River Pkwy Ste 200, Fallon, NV 89406-7801 | 2006-03-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073167961 | Banner Churchill Community Hospital | Durable Medical Equipment & Medical Supplies | 801 N. Williams Ave Suite 22017, 2208, 3301, 3309, Fallon, NV 89406 | 2019-07-29 |
| 1982173936 | Deborah Honeyestewa | Counselor | 1001 Rio Vista Drive, Fallon, NV 89406 | 2018-11-20 |
| 1528545779 | Be Empowered Health and Wellness LLC | Assistant Behavior Analyst | 1060 Roberta Ct., Fallon, NV 89406 | 2018-07-20 |
| 1609372325 | Penni Rae Loveland | Community Health Worker | 393 Calloway Court #4, Fallon, NV 89406 | 2018-04-02 |
| 1205274842 | Sharon Lee Amelung | Counselor | 270 S Maine St., Suite 8, Fallon, NV 89406 | 2013-06-05 |
| 1295045565 | Mary Ann Dunn | Dental Hygienist | 1001 Rio Vista Dr., C/o Fthc - Dental, Fallon, NV 89406 | 2010-10-20 |
| 1952578759 | Compassionate In-home Care LLC | Home Health | 37 Whitaker Lane, Fallon, NV 89406 | 2008-05-12 |
| 1326244757 | Cary Jaques | Dentist | 300 West A Street, Fallon, NV 89406 | 2007-06-22 |
| 1356542450 | New River Surgical Arts LLC | Clinic/Center | 1120 New River Parkway, Suite 100, Fallon, NV 89406 | 2007-05-29 |
| 1093927824 | Total Renal Care Inc | Clinic/Center | 1103 New River Parkway, Fallon, NV 89406 | 2007-05-04 |
| Find all providers in zip 89406 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811248933 | Matthew Gregory West | Physician Assistant | 801 E Williams Ave Ste 2207, Fallon, NV 89406-3052 | 2012-09-28 |
| 1437128873 | Vivian L Graham | Physician Assistant | 1020 New River Pkwy Ste 200, Fallon, NV 89406-7801 | 2006-03-17 |
| 1588950042 | Heather Laree Sartain | Physician Assistant | 801 E Williams Ave, Fallon, NV 89406-3052 | 2011-06-23 |
| 1528218765 | Daniel Matthew Stasik | Physician Assistant | 560 E Williams Ave, Fallon, NV 89406-3031 | 2008-09-24 |
| 1144200304 | Sharon Lynn Maxwell | Physician Assistant | 801 E Williams Ave, Fallon, NV 89406-3052 | 2006-01-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194324574 | Ashley Brooke Allen | Physician Assistant | 1705 Chaise Ct, Carson City, NV 89703-2335 | 2020-10-18 |
| 1497353627 | Justin Kent | Physician Assistant | 4521 Nantucket Clipper Dr, North Las Vegas, NV 89031-3492 | 2020-10-09 |
| 1407474695 | Katherine Lynn Mauldin | Physician Assistant | Redfield Campus Nell J. Redfield Bldg. A Suite 104, 18600 Wedge Parkway, Reno, NV 89511 | 2020-07-14 |
| 1396362422 | Jeffrey Lee Chapman | Physician Assistant | 7405 Bryan Canyon Rd, Washoe Valley, NV 89704-9588 | 2020-07-06 |
| 1497370514 | Jantima Shannon Becker | Physician Assistant | 1060 Crosswater Dr, Reno, NV 89523-7100 | 2020-06-15 |
| 1376165985 | Vanessa E R Pulido Artienda | Physician Assistant | 7829 Strong Water Ct, Las Vegas, NV 89131-8247 | 2020-05-18 |
| 1013537794 | Julia Alexa Ondarza | Physician Assistant | 10120 S Eastern Ave Ste 120, Henderson, NV 89052-3952 | 2020-04-22 |
| 1073148508 | Megan Marie Brandon | Physician Assistant | 236 W 6th St Ste 3, Reno, NV 89503-4517 | 2020-03-05 |
| 1427697952 | Fabiola Capano | Physician Assistant | 6930 S Cimarron Rd Ste 260, Las Vegas, NV 89113-2135 | 2020-01-01 |
| 1164060216 | Hugh Andrew David Cooper Rosett | Physician Assistant | 2114 Rhonda Ter, Henderson, NV 89074-0653 | 2019-12-18 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.