BRENNA LEIGH RADERMACHER (NPI# 1619499860) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619499860 |
| Entity Type | Individual |
| Full Name | BRENNA LEIGH RADERMACHER |
| Other Name | BRENNA LEIGH HAWKINS |
| Credential | DNP, APRN, AGNP-C |
| Practice Address |
500 Harvard St Se Unit 7d Minneapolis MN 55455-0363 |
| Mailing Address |
1425 Hampshire Ave S Apt 323 St Louis Park MN 55426-2163 |
| Practice Telephone | 6122733074 |
| Mailing Telephone | 5079950654 |
| Enumeration Date | 2017-07-10 |
| Last Update Date | 2018-01-03 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163W00000X | Registered Nurse | 2085531 | MN | Nursing Service Providers |
| Y | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
5247 | MN | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
500 HARVARD ST SE UNIT 7D |
| City | MINNEAPOLIS |
| State | MN |
| Zip Code | 55455-0363 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235421660 | Meghann Rae Cody | Nurse Practitioner | 500 Harvard St Se Unit 7d, Minneapolis, MN 55455-0363 | 2011-05-04 |
| 1396219903 | Jenna Gay Christofersen | Physician Assistant | 500 Harvard St Se Unit 7d, Minneapolis, MN 55455-0363 | 2019-01-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932715679 | Kara Biscobing | Nurse Anesthetist, Certified Registered | M Health Fairview Ummc East Bank 3-307, 500 Harvard Street, Minneapolis, MN 55455 | 2020-09-18 |
| 1982213237 | Yue Hu | Dentist | 515 Delaware St. Se Malcolm Moos Health Sciences Tower, Room 7-174, Minneapolis, MN 55455 | 2020-07-23 |
| 1952922148 | Jacob Laurence Tigner | Student in an Organized Health Care Education/Training Program | 420 Delaware Street Se, Mmc 284, Minneapolis, MN 55455 | 2020-04-29 |
| 1710507538 | Rachael Grundman | Student in an Organized Health Care Education/Training Program | 420 Delaware St, Mmc 395, Minneapolis, MN 55455 | 2020-04-22 |
| 1497375240 | Sanjay Dhawan | Student in an Organized Health Care Education/Training Program | 420 Delaware St. Se, Mmc 195, Minneapolis, MN 55455 | 2020-04-22 |
| 1508486549 | Dariel Andres Diaz | Student in an Organized Health Care Education/Training Program | 420 Se Delaware Street, Mmc 195, Minneapolis, MN 55455 | 2020-04-20 |
| 1275186280 | Kerem Ozturk | Radiology | B-226 Mayo Memorial Building, Mmc 292 420 Delaware Street S.e., Minneapolis, MN 55455 | 2019-07-18 |
| 1275194631 | Andres Jose Gonzalez Coba | Student in an Organized Health Care Education/Training Program | 420 Delaware Street Se Mmc 284, Minneapolis, MN 55455 | 2019-06-26 |
| 1841850278 | Brendan Andrew Schleyer | Dentist | 515 Delaware St Se, Div of Periodontology, Moos Tower, 7-368, Minneapolis, MN 55455 | 2019-06-18 |
| 1932767399 | Claire-audrey Y Bayan | Student in an Organized Health Care Education/Training Program | 420 Delaware Street, Mmc 98, Minneapolis, MN 55455 | 2019-05-31 |
| Find all providers in zip 55455 | ||||
| Taxonomy Code | 363LA2200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Adult Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942762828 | Jodi Lynn Martin | Nurse Practitioner | 720 Washington Ave Se Ste 300, Minneapolis, MN 55414-2904 | 2019-04-01 |
| 1437506417 | Zahra Roble | Nurse Practitioner | 1801 Nicolllet Ave S, Minneapolis, MN 55403 | 2016-05-19 |
| 1891170593 | Lindsey Smith | Nurse Practitioner | 421 18th Ave N, Minneapolis, MN 55411-3314 | 2015-07-23 |
| 1689068421 | Bridget Flynn | Nurse Practitioner | 6100 11th Ave S, Minneapolis, MN 55417-3208 | 2015-03-18 |
| 1386931178 | Abimbola Adenike Matti | Nurse Practitioner | 732 E Lake St, Pain Relief Center of Minnesota, Minneapolis, MN 55407-1547 | 2011-06-30 |
| 1235421660 | Meghann Rae Cody | Nurse Practitioner | 500 Harvard St Se Unit 7d, Minneapolis, MN 55455-0363 | 2011-05-04 |
| 1710218151 | Sheila Kathleen Smith | Nurse Practitioner | 814 S 3rd St, Minneapolis, MN 55415 | 2010-01-25 |
| 1295926129 | Michelle A Aldrich Rn Cnp Pa | Nurse Practitioner | 4215 31st Ave S, Minneapolis, MN 55406-3311 | 2007-08-06 |
| 1881783801 | Denise Rae Erickson | Nurse Practitioner | One Verans Dr., Minneapolis, MN 55417 | 2006-10-11 |
| 1316972011 | Jean H Lewis | Nurse Practitioner | 1 Veterans Dr Ive 112d, Minneapolis, MN 55417-2309 | 2006-07-11 |
| Find all providers in MINNEAPOLIS | ||||
| City | MINNEAPOLIS |
| Zip Code | 55455 |
Please comment or provide details below to improve the information on BRENNA LEIGH RADERMACHER.
| 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.