AMANDA KATHERINE RADAN (NPI# 1417413162) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417413162 |
| Entity Type | Individual |
| Full Name | AMANDA KATHERINE RADAN |
| Practice Address |
10251 N 35th Ave Phoenix AZ 85051-1305 |
| Practice Telephone | 6029957366 |
| Mailing Telephone | 6029957366 |
| Enumeration Date | 2019-02-19 |
| Last Update Date | 2019-02-19 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 164W00000X | Licensed Practical Nurse | 147222 | AZ | Nursing Service Providers |
| Street Address |
10251 N 35TH AVE |
| City | PHOENIX |
| State | AZ |
| Zip Code | 85051-1305 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558447003 | Melody Ann Volkmann | Speech-Language Pathologist | 10251 N 35th Ave, Phoenix, AZ 85051-1305 | 2006-10-27 |
| 1033765359 | Fatima Yarely Manjarrez | Licensed Practical Nurse | 10251 N 35th Ave, Phoenix, AZ 85051-1305 | 2019-08-13 |
| 1063970945 | Meagan Theresa Vasey | Speech-Language Pathologist | 10251 N 35th Ave, Phoenix, AZ 85051-1305 | 2019-03-09 |
| 1841777448 | Allison M Nagy | Occupational Therapist | 10251 N 35th Ave, Phoenix, AZ 85051-1305 | 2018-07-26 |
| 1386142461 | Brooke Young | Behavior Technician | 10251 N 35th Ave, Phoenix, AZ 85051-1305 | 2018-01-24 |
| 1669989844 | Abigael Maytlis | Behavior Technician | 10251 N 35th Ave, Phoenix, AZ 85051-1305 | 2018-01-09 |
| 1073023818 | Maegan Nicole Holland | Licensed Practical Nurse | 10251 N 35th Ave, Phoenix, AZ 85051-1305 | 2017-10-06 |
| 1578080172 | Gabriella Garcia | Speech-Language Pathologist | 10251 N 35th Ave, Phoenix, AZ 85051-1305 | 2017-08-24 |
| 1942757786 | Barbara Jean Dudevoire | Licensed Practical Nurse | 10251 N 35th Ave, Phoenix, AZ 85051-1305 | 2016-09-09 |
| 1831645043 | Arrianna A La Rosa | Physical Therapist | 10251 N 35th Ave, Phoenix, AZ 85051-1305 | 2016-08-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184250383 | Jhajaira Elizabeth Cadenas | Optometrist | 3937 W Northview Ave, Phoenix, AZ 85051 | 2020-03-19 |
| 1083270854 | Vision With Wings | Voluntary or Charitable | 9617 N. Metro Pkwy West, Ste. 1214, Phoeniz, AZ 85051 | 2019-05-16 |
| 1417510405 | Applied Behavioral Interventions Pllc | Dietitian, Registered | 10000 N. 31st Avenue Ste. A107, Phoenix, AZ 85051 | 2019-04-16 |
| 1558832683 | Liberty Home LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 9649 N 36th Ave, Phoenix, AZ 85051 | 2018-12-16 |
| 1518459080 | Addie Robin Diroberts | Counselor | 10240 W. 31st Ave, Phoenix, AZ 85051 | 2018-05-31 |
| 1093239816 | Jason Allan Parker | Licensed Practical Nurse | 3310 West Cheryl Drive, Phoenix, AZ 85051 | 2017-08-02 |
| 1588019145 | Vanessa Eloise Hernandez | Counselor | 10000 N. 31st Ave., Applied Behavioral Interventions, Pllc, Phoenix, AZ 85051 | 2016-05-02 |
| 1912230178 | Mozelle Barr Martin | Counselor | 3734 W. Vista Ave., Phoenix, AZ 85051 | 2009-09-04 |
| 1316184542 | Tom Sowash Od & Associates PC | Optometrist | 9617 North Parkway West, #1160, Phoenix, AZ 85051 | 2009-01-09 |
| 1609026913 | Luma Z Sayegh | Dentist | 7012 N 35th Ave, Suite 1, Phoenix, AZ 85051 | 2008-09-23 |
| Find all providers in zip 85051 | ||||
| Taxonomy Code | 164W00000X |
| Grouping | Nursing Service Providers |
| Classification | Licensed Practical Nurse |
| An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states. |
| Notes: Source: Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093313033 | Stephanie Lyn Medina | Licensed Practical Nurse | 2349 N 83rd Dr, Phoenix, AZ 85037-3742 | 2020-10-13 |
| 1134736291 | Rosa Luz Helm | Licensed Practical Nurse | 3434 S 67th Ave, Phoenix, AZ 85043-6523 | 2020-09-23 |
| 1639783160 | Jennifer Nadine Stockton | Licensed Practical Nurse | 2702 W Yorkshire Dr Apt 3100, Phoenix, AZ 85027-3939 | 2020-09-02 |
| 1871149765 | Victoria Elizabeth Bare | Licensed Practical Nurse | 1718 W Vineyard Rd, Phoenix, AZ 85041-5804 | 2019-08-15 |
| 1275096604 | Jenifer Lea Losey | Licensed Practical Nurse | 7728 S 37th Way, Phoenix, AZ 85042-9656 | 2019-04-11 |
| 1407319098 | Jennifer Maynard Pratt | Licensed Practical Nurse | 875 Lamson Rd, Phoenix, NY 13135-9020 | 2019-04-10 |
| 1356814594 | Patricia K Hodge | Licensed Practical Nurse | 33602 N 25th Dr, Phoenix, AZ 85085-6006 | 2019-01-10 |
| 1356843692 | Tirzah Gee-simpson | Licensed Practical Nurse | 4411 E Chandler Blvd Apt 2047, Phoenix, AZ 85048-7671 | 2018-03-02 |
| 1396257762 | Shirley Ann Furlong | Licensed Practical Nurse | Alhambra School District No 68, 4510 N 37th Avenue, Phoenix, AZ 85019 | 2017-10-25 |
| 1467963124 | Quality Outlook | Licensed Practical Nurse | 1717 W Glendale Ave Apt 3011, Phoenix, AZ 85021-8817 | 2017-10-20 |
| Find all providers in PHOENIX | ||||
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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.