RADIANT HEALTH LLC (NPI# 1659853174) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659853174 |
| Entity Type | Organization |
| Organization Name | RADIANT HEALTH LLC |
| Practice Address |
350 Arapahoe Ave Apt 18 Boulder CO 80302-5843 |
| Practice Telephone | 5419083672 |
| Mailing Telephone | 5419083672 |
| Enumeration Date | 2018-08-31 |
| Last Update Date | 2018-08-31 |
| Authorized Official Name | TANJA JOHNSON (ADMINISTRATOR) |
| Authorized Official Telephone | 5419083672 |
| Authorized Official Credential | NP |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | 990711 | CO | Physician Assistants & Advanced Practice Nursing Providers |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Colorado Business Entities | Radiant Health LLC | 350 Arapahoe Ave #18, Boulder, CO 80302 |
| New York State Corporations | RADIANT HEALTH LLC | 90 State St, Suite 700, Albany, New York 12207 |
| Washington State Corporations | RADIANT HEALTH LLC | 3614 California Ave Sw # 143, Seattle, WA 98116-3780 |
| Street Address |
350 ARAPAHOE AVE APT 18 |
| City | BOULDER |
| State | CO |
| Zip Code | 80302-5843 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093323347 | Aviva Naomi Bannerman | Counselor | 2299pearlst., Boulder, CO 80302 | 2020-07-22 |
| 1205480845 | Mark L Sipowicz | Counselor | 100 Arapahoe Avenue, Boulder, CO 80302 | 2019-08-01 |
| 1366909806 | Brett Adamek | Counselor | 2027 Broadway, Suite E, Boulder, CO 80302 | 2019-02-20 |
| 1124592225 | Stepheny Antrobus | Counselor | 100 Arapahoe Lane, Suite 12, Boulder, CO 80302 | 2019-01-11 |
| 1942721337 | Sasha Marvel Hope | Nutritionist | 2260 Baseline Road #102, Boulder, CO 80302 | 2017-07-06 |
| 1073045365 | Mark Shusterman | Internal Medicine | 2133 5th Street, Boulder, CO 80302 | 2017-03-28 |
| 1316489396 | Agnieszka Spuzak | Nutritionist | 1267 Fourmile Canyon Dr, Boulder, CO 80302 | 2016-11-08 |
| 1265980031 | Tanya Robertson | Physical Therapy Assistant | 1633 Grove Street, Boulder, CO 80302 | 2016-09-21 |
| 1699142380 | Libbey Occupational Therapy Services LLC | Occupational Therapist | 100 West Arapahoe Ln, Suite 12, Boulder, CO 80302 | 2015-08-28 |
| 1831597244 | Annemarie Curran Prairie | Counselor | 2505 Walnut St., Ste 303, Boulder, CO 80302 | 2014-12-17 |
| Find all providers in zip 80302 | ||||
| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
| Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093347247 | Ashley Fanning | Nurse Practitioner | 2750 Broadway St # 100, Boulder, CO 80304-3586 | 2020-02-06 |
| 1649658329 | Jeff Ritchie | Nurse Practitioner | 70 S Boulder Cir Apt 7012, Boulder, CO 80303-4265 | 2015-05-13 |
| 1831459692 | Joshua G Tueting | Nurse Practitioner | 1900 Wardenburg, Boulder, CO 80309-1911 | 2012-05-25 |
| 1528215076 | Jessica Tamar Davis | Nurse Practitioner | 4715 Arapahoe Avenue, Boulder, CO 80303 | 2008-08-26 |
| 1518148246 | Tahirah Asimali Asimali | Nurse Practitioner | 3949 19th St, Boulder, CO 80304-1353 | 2007-11-22 |
| 1154525632 | Kathleen A Harding | Nurse Practitioner | 2885 Aurora Ave Ste 15, Boulder, CO 80303-2251 | 2007-06-11 |
| 1407059355 | Jenny Leong Abernathy | Nurse Practitioner | 6685 Gunpark Dr Ste 102, Boulder, CO 80301-3343 | 2007-06-07 |
| 1801822358 | Annette Ellen Percefull | Nurse Practitioner | 2434 Arapahoe Ave, Boulder, CO 80302-7532 | 2006-06-25 |
| 1346223898 | Nancy K Engellenner | Nurse Practitioner | 4745 Arapahoe Ave Ste 320, Boulder, CO 80303-1082 | 2005-11-29 |
| 1013914738 | Linda Lea Johnson | Nurse Practitioner | 2855 Valmont Rd, Boulder, CO 80301-1309 | 2005-07-07 |
| Find all providers in BOULDER | ||||
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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.