COURTNEY NICOLE RADDATZ (NPI# 1780743542) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780743542 |
| Entity Type | Individual |
| Full Name | COURTNEY NICOLE RADDATZ |
| Credential | LMP |
| Practice Address |
1919 N Pearl St Ste A4 Tacoma WA 98406-2456 |
| Mailing Address |
943 9th St Se Apt 2 Puyallup WA 98372-5710 |
| Practice Telephone | 2532302919 |
| Practice Fax Number | 2537618746 |
| Mailing Telephone | 2532302919 |
| Mailing Fax Number | 2537618746 |
| Enumeration Date | 2006-12-07 |
| Last Update Date | 2008-07-29 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | 00018940 | WA | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | L&I PROVIDER # | 0194714 | 01 |
| Street Address |
1919 N PEARL ST STE A4 |
| City | TACOMA |
| State | WA |
| Zip Code | 98406-2456 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215451109 | Leanna Therese Maxwell | Massage Therapist | 1919 N Pearl St Ste A4, Tacoma, WA 98406-2456 | 2017-08-01 |
| 1780089748 | Serenity Holistic Health & Massage | Specialist | 1919 N Pearl St Ste A4, Tacoma, WA 98406-2456 | 2014-11-03 |
| 1639511165 | Evelyn Katakyna Karhnet | Specialist | 1919 N Pearl St Ste A4, Tacoma, WA 98406-2456 | 2013-07-25 |
| 1538478532 | Taylor C. Booth | Massage Therapist | 1919 N Pearl St Ste A4, Tacoma, WA 98406-2456 | 2010-09-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972068070 | Misty Molina, Arnp | Midwife | 6002 Westgateblvd., Ste 120, Tacoma, WA 98406 | 2019-02-04 |
| 1538641238 | Julianne Marie Silla | Behavior Technician | 4414 6th Ave., Tacoma, WA 98406 | 2018-08-30 |
| 1659851194 | Holli Fadem | Behavioral Analyst | 4414 6th Ave, Tacoma, WA 98406 | 2018-08-15 |
| 1275013682 | Josephine Lynn Daniels | Counselor | 5929 Westgate Blvd., Suite A, Tacoma, WA 98406 | 2018-08-15 |
| 1821520388 | Cayla Passmore | Home Health Aide | 7320 6th Ave, Apt 2, Tacoma, WA 98406 | 2017-04-03 |
| 1134587355 | Chelsey Babcock | Massage Therapist | 1919 N Pearl St., #a4, Tacoma, WA 98406 | 2016-02-02 |
| 1366888992 | Philip Jones / Thomas Henry, D.o.s., P.s. | Dentist | 2102 N. Pearl Street, Suite 202, Tacoma, WA 98406 | 2013-05-22 |
| 1548512866 | Suzanne R Webster | Occupational Therapy Assistant | 2301 N Mildred, Tacoma, WA 98406 | 2012-10-10 |
| 1457609943 | Erika R. Sagle | Specialist | 1807 N. Stevens St., Tacoma, WA 98406 | 2012-08-15 |
| 1457616104 | Catherine M Jones | Pharmacy Technician | 3601 6th Ave S., Tacoma, WA 98406 | 2012-07-09 |
| Find all providers in zip 98406 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568911196 | Sheila Strecker | Specialist | 3518 6th Ave Ste 200, Tacoma, WA 98406-5419 | 2016-09-23 |
| 1356898530 | Nikita D Schipper | Specialist | 504 Garfield St S, Tacoma, WA 98444-3628 | 2016-09-06 |
| 1437513637 | Bridgette Burdyshaw | Specialist | 438 E 60th St, Tacoma, WA 98404-1926 | 2016-04-13 |
| 1326408410 | Kristina Baker | Specialist | 1310 S Union Ave Ste A202, Tacoma, WA 98405-1907 | 2016-03-02 |
| 1598130130 | Bethany Joy Gehrke | Specialist | 1601 N 8th St, Tacoma, WA 98403-1013 | 2015-12-08 |
| 1346613791 | Angela Jane King | Specialist | 913 N Frace St, Tacoma, WA 98406-2121 | 2015-11-06 |
| 1518364140 | Maria Margarita Celis | Specialist | 1011 S M St, Tacoma, WA 98405-3653 | 2014-11-25 |
| 1497151419 | Kaelyn Heath | Specialist | 6502 19th St Ne, Tacoma, WA 98422-3701 | 2014-11-18 |
| 1104220565 | Kehau Tester | Specialist | 9020 A Street, Tacoma, WA 98444 | 2014-10-14 |
| 1265841175 | Valentine Yoga Therapy, LLC | Specialist | 420 S 35th St, Tacoma, WA 98418-6822 | 2014-08-05 |
| Find all providers in TACOMA | ||||
Please comment or provide details below to improve the information on COURTNEY NICOLE RADDATZ.
| 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.