CAROLYN GRIESSER RADDELL (NPI# 1841813524) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1841813524 |
| Entity Type | Individual |
| Full Name | CAROLYN GRIESSER RADDELL |
| Credential | APRN |
| Practice Address |
1401 Atlantic Ave Atlantic City NJ 08401-7001 |
| Practice Telephone | 6093454000 |
| Enumeration Date | 2020-05-28 |
| Last Update Date | 2020-10-16 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163W00000X | Registered Nurse | 26NR21755900 | NJ | Nursing Service Providers |
| Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
26NJ01043000 | NJ | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
1401 ATLANTIC AVE |
| City | ATLANTIC CITY |
| State | NJ |
| Zip Code | 08401-7001 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700872314 | Debra Jean Westcott | Registered Nurse | 1401 Atlantic Ave, Atlantic City, NJ 08401-7022 | 2005-09-20 |
| 1013486471 | Rebecca Erb | Pharmacist | 1401 Atlantic Ave, Atlantic City, NJ 08401-7022 | 2018-11-15 |
| 1578058210 | Melissa Parmenter | Counselor | 1401 Atlantic Ave, Atlantic City, NJ 08401-7022 | 2018-06-26 |
| 1982113056 | Kelly Turner | Social Worker | 1401 Atlantic Ave, Atlantic City, NJ 08401-7022 | 2017-09-21 |
| 1598207417 | Atlanticare Health Services, Inc. | PACE Provider Organization | 1401 Atlantic Ave, Atlantic City, NJ 08401-7022 | 2016-11-09 |
| 1578915989 | Kelly Kilroy | Registered Nurse | 1401 Atlantic Ave, Atlantic City, NJ 08401-7022 | 2016-07-09 |
| 1669828638 | Rebecca King | Counselor | 1401 Atlantic Ave, Atlantic City, NJ 08401-7022 | 2016-05-10 |
| 1417318221 | Rosemary Amezquita | Licensed Practical Nurse | 1401 Atlantic Ave, Atlantic City, NJ 08401-7022 | 2016-03-08 |
| 1053771543 | Yolanda Velezpadilla | Social Worker | 1401 Atlantic Ave, Atlantic City, NJ 08401-7022 | 2016-02-26 |
| 1801255757 | Esther Edusei | Student in an Organized Health Care Education/Training Program | 1401 Atlantic Ave, Atlantic City, NJ 08401-7022 | 2016-02-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275133175 | Kristy Liekfet | Nurse Practitioner | Atlanticare Apg Palliative Care, 1925 Pacific Ave. 1st Flr, Atlantic City, NJ 08401 | 2020-10-29 |
| 1346716834 | Q Pharma Inc | Non-Pharmacy Dispensing Site | 3830 Atlantic Avenue, Atlantic City, NJ 08401 | 2018-10-23 |
| 1922597947 | Kara Nicole Bonsera | Nurse Practitioner | 1801 Atlantic Ave Fl 3, Atlantic City, NJ 08401 | 2018-05-04 |
| 1437605656 | John Brooks Recovery Center, A New Jersey Non-profit Corporation | Clinic/Center | 1931 Bacharach Blvd, Atlantic City, NJ 08401 | 2016-08-28 |
| 1265874051 | Mary K. Wilsbach | Social Worker | 1401 Atlantic Ave.suite 2200, Healthplex, Atlanticare Ambulatory Care Services;, Atlantic City, NJ 08401 | 2013-07-23 |
| 1326388133 | Atlantic City Board of Education | Local Education Agency (LEA) | 1300 Atlantic Avenue, 5th Floor, Atlantic City, NJ 08401 | 2013-02-15 |
| 1972818656 | Mittal H. Patel | Pharmacist | 1723 Pacific Ave, Atlantic City, NJ 08401 | 2010-08-18 |
| 1689803900 | America's Best Contacts & Eyeglasses | Technician/Technologist | 2109 Atlantic Ave., Ste. 1016, Atlantic City, NJ 08401 | 2009-07-08 |
| 1750536850 | Joel G. Weiss | Dentist | 3822 Ventnor Ave, Atlantic City, NJ 08401 | 2008-11-18 |
| 1982879631 | Angela Butcher | Nurse's Aide | 401 North Martin Luthur King Blvd, Atlantic City, NJ 08401 | 2008-04-24 |
| Find all providers in zip 08401 | ||||
| Taxonomy Code | 363LP0808X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760038970 | Michael Domenic Farreny | Nurse Practitioner | 1925 Pacific Ave, Atlantic City, NJ 08401-6713 | 2019-08-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821699943 | Ernest Akwaboah | Nurse Practitioner | 87 Burnett Ave, Maplewood, NJ 07040-3094 | 2020-11-04 |
| 1548861081 | Temitope Akande | Nurse Practitioner | 557 Liberty St, Orange, NJ 07050-1275 | 2020-11-02 |
| 1538767587 | Ruth Yamoah-cofie | Nurse Practitioner | 1160 E 7th St, Plainfield, NJ 07062-1906 | 2020-10-13 |
| 1336756170 | Jacqueline Michele Arnone | Nurse Practitioner | 105 Windward Dr, Manahawkin, NJ 08050-3345 | 2020-09-25 |
| 1750997789 | Eunice Ramos | Nurse Practitioner | 300-a Forest Avenue, Paramus, NJ 07652 | 2020-09-15 |
| 1174138952 | Darlene Lupo | Nurse Practitioner | 72 Morris Ave, Neptune, NJ 07753 | 2020-09-09 |
| 1841804960 | Claudette L Blake | Nurse Practitioner | 890 Terrill Rd, Plainfield, NJ 07062-2250 | 2020-09-04 |
| 1982217873 | Ifeoma E Iherobiem | Nurse Practitioner | 884 S Springfield Ave Apt 18, Springfield, NJ 07081-3320 | 2020-08-28 |
| 1871106088 | Firmin Langyin | Nurse Practitioner | 200 Station Dr Apt 207, Avenel, NJ 07001-1793 | 2020-08-26 |
| 1205448859 | Yanick E Jean | Nurse Practitioner | 32 Deerfield Dr, West Orange, NJ 07052-3627 | 2020-08-17 |
| Find all providers with the same taxonomy | ||||
| City | ATLANTIC CITY |
| Zip Code | 08401 |
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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.