Nathalie K Rade (NPI# 1104374727, PAC ID# 2860778651) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1104374727 |
| PAC ID by PECOS | 2860778651 |
| Professional Enrollment ID | I20170410001898 |
| Full Name | Nathalie K Rade |
| Organization Legal Name | HERITAGE BEHAVIORAL HEALTH CENTER INC. |
| Address |
151 N Main St Decatur IL 62523-1206 |
| Phone Number | 2173626262217 |
| Gender | F |
| Graduation Year | 2006 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 0547208951 |
| Number of Group Practice Members | 6 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 140135 | DECATUR MEMORIAL HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 151 N Main St, Decatur, IL 62523-1206 | 2173626262217 | HERITAGE BEHAVIORAL HEALTH CENTER INC. |
| Organization Legal Name | HERITAGE BEHAVIORAL HEALTH CENTER INC. |
| Physicians | 8 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Christina E Ventimiglia-brandt | Nurse Practitioner | Heritage Behavioral Health Center Inc. | 151 N Main St, Decatur, IL 62523-1206 |
| Andrea L Rolfs | Clinical Social Worker | Heritage Behavioral Health Center Inc. | 151 N Main St, Decatur, IL 62523-1206 |
| Rex W Mcreynolds Ii | Clinical Social Worker | Heritage Behavioral Health Center Inc. | 151 N Main St, Decatur, IL 62523-1206 |
| Jessica M Hentrich | Clinical Social Worker | Heritage Behavioral Health Center Inc. | 151 N Main St, Decatur, IL 62523-1206 |
| Rachelle L Born | Clinical Social Worker | Heritage Behavioral Health Center Inc. | 151 N Main St, Decatur, IL 62523-1206 |
| Jessica Lynn Lofu | Clinical Social Worker | Heritage Behavioral Health Center Inc. | 151 N Main St, Decatur, IL 62523-1206 |
| Tania Diaz-macken | Clinical Social Worker | Heritage Behavioral Health Center Inc. | 151 N Main St, Decatur, IL 62523-1206 |
| Street Address |
151 N MAIN ST |
| City | DECATUR |
| State | IL |
| Zip | 62523-1206 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Christina E Ventimiglia-brandt | Nurse Practitioner | Heritage Behavioral Health Center Inc. | 151 N Main St, Decatur, IL 62523-1206 |
| Andrea L Rolfs | Clinical Social Worker | Heritage Behavioral Health Center Inc. | 151 N Main St, Decatur, IL 62523-1206 |
| Rex W Mcreynolds Ii | Clinical Social Worker | Heritage Behavioral Health Center Inc. | 151 N Main St, Decatur, IL 62523-1206 |
| Jessica M Hentrich | Clinical Social Worker | Heritage Behavioral Health Center Inc. | 151 N Main St, Decatur, IL 62523-1206 |
| Rachelle L Born | Clinical Social Worker | Heritage Behavioral Health Center Inc. | 151 N Main St, Decatur, IL 62523-1206 |
| Jessica Lynn Lofu | Clinical Social Worker | Heritage Behavioral Health Center Inc. | 151 N Main St, Decatur, IL 62523-1206 |
| Tania Diaz-macken | Clinical Social Worker | Heritage Behavioral Health Center Inc. | 151 N Main St, Decatur, IL 62523-1206 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Adrian M Byrd | Clinical Social Worker | 230 W Main St, Decatur, IL 62523-1215 | |
| Syed Z Salik | Infectious Disease | 363 S Main St, Suite 345, Decatur, IL 62523-1412 |
| City | DECATUR |
| Zip Code | 62523 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | DECATUR + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Nathalie K Rade.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.