CONNIE SUE RADKE (NPI# 1770954687) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770954687 |
| Entity Type | Individual |
| Full Name | CONNIE SUE RADKE |
| Credential | APRN |
| Practice Address |
2915 Grant Street Omaha NE 68111-3863 |
| Practice Telephone | 4024513553 |
| Practice Fax Number | 4024531970 |
| Mailing Telephone | 4024513553 |
| Mailing Fax Number | 4024531970 |
| Enumeration Date | 2015-10-19 |
| Last Update Date | 2015-10-19 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LC1500X |
Nurse Practitioner Specialization: Community Health |
111921 | NE | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
2915 GRANT STREET |
| City | OMAHA |
| State | NE |
| Zip Code | 68111-3863 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255302170 | Charles Drew Health Center, Inc | Clinic/Center | 2915 Grant Street, Omaha, NE 68111-3863 | 2006-01-30 |
| 1992926497 | Vincent E Kershaw | Family Medicine | 2915 Grant Street, Omaha, NE 68111 | 2007-05-01 |
| 1053422303 | Erin C Wetzel | Dentist | 2915 Grant Street, Omaha, NE 68111-3863 | 2006-08-31 |
| 1952418022 | Arlana R Phillips | Pediatrics | 2915 Grant Street, Omaha, NE 68103 | 2006-08-24 |
| 1215948591 | Jacqueline B Esch | Family Medicine | 2915 Grant Street, Omaha, NE 68111 | 2006-08-11 |
| 1699784066 | Tracy R Harrison | Clinical Nurse Specialist | 2915 Grant Street, Omaha, NE 68111 | 2006-08-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124501341 | Monique Visocky | Social Worker | 4110 N 36th St, Omaha, NE 68111 | 2018-09-13 |
| 1629529052 | Alexis Rae Mcgary | Speech-Language Pathologist | 4304 North 33rd Street, Omaha, NE 68111 | 2016-10-20 |
| 1811247299 | St Benedict The Moor Catholic Church | Social Worker | 2423 Grant St, Omaha, NE 68111 | 2012-09-13 |
| 1699926337 | Lizabeth A Post | Counselor | 4410 N 36th, Omaha, NE 68111 | 2008-09-30 |
| 1043639594 | Victoria Lynne Cassidy | Counselor | 4318 Fort St, Omaha, NE 68111 | 2014-04-14 |
| 1215232517 | Karen R Allington | Counselor | 3483 Larimore Ave, Omaha, NE 68111 | 2011-01-18 |
| 1396365458 | Shaun M Metoyer | Contractor | 6344 N 36th St, Omaha, NE 68111-1110 | 2020-04-19 |
| 1922464239 | Brooke Bertling | Speech-Language Pathologist | 3775 Curtis Ave, Omaha, NE 68111-1169 | 2016-01-04 |
| 1629385331 | Charles Drew Health Center, Inc | Counselor | 3775 Curtis Avenue, Omaha, NE 68111-1169 | 2010-09-02 |
| 1881169274 | Leslie Ann Gleaves | Registered Nurse | 3775 Curtis Ave, Omaha, NE 68111-1169 | 2018-10-11 |
| Find all providers in zip 68111 | ||||
| Taxonomy Code | 363LC1500X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Community Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952659930 | Charles Drew Health Center, Inc | Nurse Practitioner | 5100 Florence Blvd, Omaha, NE 68110-5346 | 2012-08-22 |
| 1346597895 | Charles Drew Health Center, Inc | Nurse Practitioner | 5904 Henniger Avenue, Omaha, NE 68183-0001 | 2012-08-14 |
| 1023365582 | Charles Drew Health Center, Inc | Nurse Practitioner | 3600 North 24th Street, Omaha, NE 68110-1872 | 2012-08-14 |
| 1407131543 | Christy S Boulos | Nurse Practitioner | 2915 Grant St, Omaha, NE 68111-3863 | 2011-10-20 |
Please comment or provide details below to improve the information on CONNIE SUE RADKE.
| 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.