AMY E RADATZ (NPI# 1922241280) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922241280 |
| Entity Type | Individual |
| Full Name | AMY E RADATZ |
| Credential | RN |
| Practice Address |
2422 N Grandview Blvd Waukesha WI 53188-6105 |
| Practice Telephone | 2625496600 |
| Practice Fax Number | 2625496698 |
| Mailing Telephone | 2625496600 |
| Mailing Fax Number | 2625496698 |
| Enumeration Date | 2009-04-15 |
| Last Update Date | 2009-04-15 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WA0400X |
Registered Nurse Specialization: Addiction (Substance Use Disorder) |
143887 - 030 | WI | Nursing Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972145803 | Amy M Radatz | Nurse Practitioner | 737 E Crawford St, Salina, KS 67401-5103 | 2019-10-11 |
| Street Address |
2422 N GRANDVIEW BLVD |
| City | WAUKESHA |
| State | WI |
| Zip Code | 53188-6105 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124182126 | David Poehlmann | Counselor | 2422 N Grandview Blvd, Suite 501, Waukesha, WI 53188-6105 | 2006-12-21 |
| 1164040010 | Hailey Maye Thomas | Counselor | 2422 N Grandview Blvd, Waukesha, WI 53188-6105 | 2020-07-08 |
| 1033742556 | Ericka Surowaniec | Counselor | 2422 N Grandview Blvd, Waukesha, WI 53188-6105 | 2020-02-13 |
| 1225672710 | Christina Caroline Petersen | Counselor | 2422 N Grandview Blvd, Waukesha, WI 53188-6105 | 2019-10-29 |
| 1184276016 | Amanda Oswald | Counselor | 2422 N Grandview Blvd, Waukesha, WI 53188-6105 | 2019-07-11 |
| 1932677622 | Rosalie Wiese | Counselor | 2422 N Grandview Blvd, Waukesha, WI 53188-6105 | 2018-11-12 |
| 1295211951 | Shana Greenwich | Counselor | 2422 N Grandview Blvd, Waukesha, WI 53188-6105 | 2018-07-16 |
| 1659877843 | Linda Evelyn Loomis | Counselor | 2422 N Grandview Blvd, Waukesha, WI 53188-6105 | 2018-04-05 |
| 1174037196 | Claire C Layton | Counselor | 2422 N Grandview Blvd, Waukesha, WI 53188-6105 | 2017-11-29 |
| 1316484470 | Lisa Yanny | Licensed Practical Nurse | 2422 N Grandview Blvd, Waukesha, WI 53188-6105 | 2017-01-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336787126 | Nicole Lee Berg-johnson | Nurse Practitioner | 820 Crestwood Dr., Waukesha, WI 53188 | 2019-12-12 |
| 1013475706 | Rachel Mueller | Occupational Therapist | 29667 Summit Ave, S11, Waukesha, WI 53188 | 2019-03-12 |
| 1861962649 | Emily Elizabeth Seefeld | Occupational Therapy Assistant | 29667 Summit Ave S11, Waukesha, WI 53188 | 2018-12-05 |
| 1003393307 | Ashley Susan Callahan | Dental Hygienist | 711 W. Moreland Blvd., Suite 204, Waukesha, WI 53188 | 2018-07-19 |
| 1245741321 | Melissa Weir | Case Manager/Care Coordinator | 514 Riverview Avenue, Waukesha, WI 53188 | 2017-10-17 |
| 1093233629 | Patricia Marie Sombrio | Dental Hygienist | 711 Moreland Blvd 204, Waukesha, WI 53188 | 2017-09-04 |
| 1134660244 | Bdg of Wisconsin, Inc. | Behavioral Analyst | N19w2309 Riverwood Drive, Suite 350 Pmb 314, Waukesha, WI 53188 | 2017-03-09 |
| 1255888731 | Lynne Sarah Alva | Dental Hygienist | 711 Moreland Blvd, Suite 204, Waukesha, WI 53188 | 2016-09-01 |
| 1881069730 | Michelle Koch | Occupational Therapist | 29667 Summit Ave. S11, Waukesha, WI 53188 | 2015-12-03 |
| 1952711012 | Rhonda Schroeder | Dental Hygienist | W286 N991 Shepherds Way, Waukesha, WI 53188 | 2014-04-29 |
| Find all providers in zip 53188 | ||||
| Taxonomy Code | 163WA0400X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376981811 | Mark Russell Schmitt | Registered Nurse | 1804 Dixie Dr., Waukesha, WI 53189 | 2013-06-06 |
| 1851649651 | Charline D Williams-weah | Registered Nurse | 2422 N. Grandview Boulevard, Waukesha, WI 53188 | 2012-08-27 |
| 1457773962 | Lisa Rodriguez-gonzalez | Registered Nurse | 2422 N Grandview Blvd, Waukesha, WI 53188-6105 | 2014-01-17 |
| 1255668208 | Kelly M Blackburn | Registered Nurse | 2422 N Grandview Blvd, Waukesha, WI 53188-6105 | 2009-11-12 |
| 1154575173 | Christine L Elmer | Registered Nurse | 2422 N Grandview Blvd, Waukesha, WI 53188-6105 | 2008-11-05 |
| 1447449319 | Barbara J Kuechler | Registered Nurse | 2422 North Grandview Blvd, Waukesha, WI 53188 | 2007-10-17 |
| 1831303577 | Kathleen J Maloney | Registered Nurse | 2422 North Grandview Blvd, Waukesha, WI 53188 | 2007-05-10 |
| 1427262237 | Tamara Lynn Domansky | Registered Nurse | 2422 North Grandview Blvd, Waukesha, WI 53188 | 2007-05-10 |
| 1295949006 | Jeffrey Merle Fosso | Registered Nurse | 2422 North Grandview Blvd, Waukesha, WI 53188 | 2007-05-10 |
| 1720292469 | Margaret Mary Crarn | Registered Nurse | 2422 North Grandview Blvd, Waukesha, WI 53188 | 2007-05-10 |
| Find all providers in WAUKESHA | ||||
Please comment or provide details below to improve the information on AMY E RADATZ.
| 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.