CHRISTIN RADTKE (NPI# 1730621467) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730621467 |
| Entity Type | Individual |
| Full Name | CHRISTIN RADTKE |
| Credential | FNP-C |
| Practice Address |
2945 Hazelwood St Ste 100 Maplewood MN 55109-1241 |
| Practice Telephone | 6512327800 |
| Practice Fax Number | 6512327940 |
| Mailing Telephone | 6512327800 |
| Mailing Fax Number | 6512327940 |
| Enumeration Date | 2016-11-11 |
| Last Update Date | 2018-03-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
CNP 4993 | MN | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 333 Smith Ave N, Saint Paul, MN 551022344 | 6128636590 |
| Street Address |
2945 HAZELWOOD ST STE 100 |
| City | MAPLEWOOD |
| State | MN |
| Zip Code | 55109-1241 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689616716 | Healtheast Medical Research Institute | Durable Medical Equipment & Medical Supplies | 2945 Hazelwood St Ste 100, Maplewood, MN 55109 | 2006-06-12 |
| 1144718917 | Stephanie Aldrin | Family Medicine | 2945 Hazelwood St Ste 100, Maplewood, MN 55109-1242 | 2018-04-27 |
| 1649798463 | Benjamin Beuchler | Physician Assistant | 2945 Hazelwood St Ste 100, Maplewood, MN 55109 | 2017-08-31 |
| 1285150193 | Matthew Sanocki | Physician Assistant | 2945 Hazelwood St Ste 100, Maplewood, MN 55109-1242 | 2017-08-22 |
| 1275066813 | Saleha Raajpoot | Family Medicine | 2945 Hazelwood St Ste 100, Maplewood, MN 55109-1242 | 2017-04-11 |
| 1104359843 | Madeline Paul | Pediatrics | 2945 Hazelwood St Ste 100, Maplewood, MN 55109-1242 | 2017-04-10 |
| 1992256382 | Kelly Jean Hedblad | Nurse Practitioner | 2945 Hazelwood St Ste 100, Maplewood, MN 55109-1241 | 2016-10-20 |
| 1396134763 | Kara Wheeler | Dietitian, Registered | 2945 Hazelwood St Ste 100, Maplewood, MN 55109-1242 | 2015-01-22 |
| 1609288828 | Kahoua Caroline Lochungvu | Internal Medicine | 2945 Hazelwood St Ste 100, Maplewood, MN 55109 | 2014-05-22 |
| 1659707289 | Colleen Lynn Quesnell | Nurse Practitioner | 2945 Hazelwood St Ste 100, Maplewood, MN 55109-1242 | 2013-09-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366063828 | Jodi May Begordis | Registered Nurse | 2586 7th Ave East, Suite 302, North St Paul, MN 55109 | 2020-05-06 |
| 1467917146 | Alejandro Diez Freire | Social Worker | 2468 Germain St, Maplewood, MN 55109 | 2019-02-06 |
| 1679099667 | Rochelle Marie Clarke | Registered Nurse | 2586 7th Ave East Suite 302, North Saint Paul, MN 55109 | 2017-08-21 |
| 1497298210 | Salams Care Residential, LLC | Home Health | 2240 Ide Ct, Maplewood, MN 55109 | 2016-11-28 |
| 1093199630 | Garry Allen | Psychologist | 2345 Ariel St North Mail Stop 13601a, Maplewood, MN 55109 | 2015-07-14 |
| 1700264751 | Matthew Seng Thao | Student in an Organized Health Care Education/Training Program | 1470 Gervais Ave, Maplewood, MN 55109 | 2015-05-11 |
| 1326458340 | Chong Chang | Counselor | 1705 Cope Ave E Ste I, Maplewood, MN 55109 | 2014-04-29 |
| 1619396488 | Leah Anne Downey | Occupational Therapist | 2399 Ariel St. N., Children's Theraplay, LLC, Maplewood, MN 55109 | 2014-04-09 |
| 1356765440 | Group Health Plan, Inc | Clinic/Center | 2520 12th Ave E, North St Paul, MN 55109 | 2014-02-10 |
| 1336560275 | Veneman Dental Care, Pa | Dentist | 1774 Cope Ave, Suite 110, Maplewood, MN 55109 | 2013-12-19 |
| Find all providers in zip 55109 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407466675 | Neela Xiong | Nurse Practitioner | 2712 Brand Ave E, Maplewood, MN 55119-3801 | 2020-08-03 |
| 1114496478 | Barbara Ann Chubb | Nurse Practitioner | 626 Prospect St, Maplewood, NJ 07040-2724 | 2018-11-16 |
| 1972788008 | Carla Sue Strater | Nurse Practitioner | 21075 State Route 47, Maplewood, OH 45340-8724 | 2008-01-08 |
| 1215404504 | Rejane Signor | Nurse Practitioner | 1973 Springfield Ave, Maplewood, NJ 07040 | 2018-10-25 |
| 1205311156 | Jessica Anne Lemker | Nurse Practitioner | 2165 White Bear Ave N, Maplewood, MN 55109-2707 | 2018-09-26 |
| 1386151413 | Nasra Thakur | Nurse Practitioner | 1850 Beam Ave, Maplewood, MN 55109 | 2018-01-10 |
| 1326574732 | Laura Donatelle | Nurse Practitioner | 1575 Beam Ave, Maplewood, MN 55109-1126 | 2017-05-04 |
| 1417493396 | Pilar Boril | Nurse Practitioner | 1575 Beam Ave, Maplewood, MN 55109-1126 | 2017-01-16 |
| 1487190633 | Hyohyun Jang | Nurse Practitioner | 2010 Springfield Ave, #101, Maplewood, NJ 07040-3437 | 2017-01-12 |
| 1962951616 | Sandra Jeanne Thompson | Nurse Practitioner | 264 Boyden Ave, Maplewood, NJ 07040-3070 | 2016-09-22 |
| Find all providers in MAPLEWOOD | ||||
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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.