RADIANT (NPI# 1831555143) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1831555143 |
| Entity Type | Organization |
| Organization Name | RADIANT |
| Practice Address |
2301 Terra Crossing Blvd Ste 103 Louisville KY 40245-4994 |
| Mailing Address |
2204 Morgan Ridge Ct La Grange KY 40031-8688 |
| Practice Telephone | 3046874204 |
| Mailing Telephone | 3046874204 |
| Enumeration Date | 2016-01-04 |
| Last Update Date | 2016-09-13 |
| Authorized Official Name | MS. TIFFANY SMITH (PRESIDENT) |
| Authorized Official Telephone | 3046874204 |
| Authorized Official Credential | PA-C |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 208D00000X | General Practice | 22964 | KY | Allopathic & Osteopathic Physicians |
| N | 363A00000X | Physician Assistant | PA1075 | KY | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LF0000X |
Nurse Practitioner Specialization: Family |
3007017 | KY | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 111N00000X | Chiropractor | 5059 | KY | Chiropractic Providers |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | RADIANT | 107 Corporate Blvd Ste B, South Plainfield, NJ 07080-2482 |
| Oregon Corporations, Companies and Business Names | RADIANT | 9620 Sw Barbur Blvd, Portland, OR 97219 |
| Oregon Corporations, Companies and Business Names | RADIANT - A JESUS CHURCH | 1558 Sw Walter Loop, Gresham, OR 97080 |
| System for Award Management (SAM) Entities | RADIANT 3SGBS | 7923 Nita Ave, Canoga Park, CA 91304-4706 |
| New York State Corporations | RADIANT ABILITIES, LLC | 316 S. Clinton Street, Syracuse, New York 13202 |
| Massachusetts Corporations | RADIANT ACOUSTICS, INC. | Po Box 812312, Wellesley, MA 02482 |
| Colorado Business Entities | Radiant Acupuncture LLC | 5305 Spine Rd Suite F, Boulder, CO 80301 |
| System for Award Management (SAM) Entities | RADIANT ADDIS CLEANING SERVICE | Guinea Conakry Street, Addis Ababa, 1000, ETH |
| Colorado Business Entities | Radiant Ads, LLC | 757 E. 20th Ave., Suite 370 #137, Denver, CO 80205 |
| New York State Corporations | RADIANT ADVANCED CARE LLC | 77 Alpine Lane, South Huntington, New York 11746 |
| Street Address |
2301 TERRA CROSSING BLVD STE 103 |
| City | LOUISVILLE |
| State | KY |
| Zip Code | 40245-4994 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063443364 | William R Yadon | Chiropractor | 2301 Terra Crossing Blvd, Louisville, KY 40245-4994 | 2006-07-05 |
| 1225324296 | Brittany E Young | Nurse Practitioner | 2301 Terra Crossing Blvd, 103, Louisville, KY 40245-4994 | 2011-06-28 |
| 1154576981 | Tiffany Elaine Smith | Physician Assistant | 2301 Terra Crossing Blvd, Suite 103, Louisville, KY 40245-4994 | 2008-11-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083247753 | Stepping Stones Pediatric Therapy, LLC | Early Intervention Provider Agency | 330 Cranbury Way, Louisville, KY 40245 | 2020-02-20 |
| 1790324333 | Joseph Strano | Pharmacist | 12450 Lagrange Road, Louisville, KY 40245 | 2019-12-30 |
| 1174160725 | Anne S Hill | Technician | 16621 Taunton Vale Rd, Louisville, KY 40245 | 2019-12-03 |
| 1750808937 | Amy Judy | Assistant Behavior Analyst | 4512 Meadowlark Manor Dr, Louisville, KY 40245 | 2017-08-28 |
| 1104356567 | Mmr Cardiovascular Consulting LLC | Internal Medicine | 1101 Glenlake Way, Louisville, KY 40245 | 2017-06-18 |
| 1952830135 | Staci Marie Trofimov | Dietitian, Registered | 13008 Willow Forest Drive, Louisville, KY 40245 | 2017-06-09 |
| 1629524913 | Forefront Dermatology, S.c. | Dermatology | 159 S. English Station Road, Louisville, KY 40245 | 2016-08-28 |
| 1861867830 | Jamila Hadden | Counselor | 111 Parkview Dr., Louisville, KY 40245 | 2015-12-02 |
| 1538570312 | Brian Johnson | Case Manager/Care Coordinator | 4717 Middlesex Drive, 4717 Middlesex Drive, Louisville, KY 40245 | 2014-05-14 |
| 1033535828 | Genesis Eldercare Physician Services LLC | Nurse Practitioner | 16605 Chestnut Glen Pl, Louisville, KY 40245 | 2014-03-17 |
| Find all providers in zip 40245 | ||||
| Taxonomy Code | 111N00000X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124650668 | Christina Ann Schlesinger | Chiropractor | 108 Cannons Ln, Louisville, KY 40206-2725 | 2020-02-12 |
| 1801438064 | Life Alive Chiropractic LLC | Chiropractor | 245 Century Cir Ste 105, Louisville, CO 80027-1740 | 2019-10-09 |
| 1689215402 | Iroquois Injury Care Chiropractic Center Psc | Chiropractor | 5324 S 3rd St Ste 102, Louisville, KY 40214-2690 | 2019-10-02 |
| 1801448675 | Olivia Trainor | Chiropractor | 232 Mccaslin Blvd Apt 203, Louisville, CO 80027-2915 | 2019-07-11 |
| 1629638648 | Clear View Chiropractic, Pllc | Chiropractor | 727 Speckman Rd, Louisville, KY 40243-1876 | 2019-06-20 |
| 1902461692 | Louisville Injury Clinics, Inc | Chiropractor | 4400 Breckenridge Lane, Suite 102, Louisville, KY 40218 | 2019-05-08 |
| 1255890901 | Emily Ann Boyich | Chiropractor | 1075 E South Boulder Rd Ste 110, Louisville, CO 80027-2557 | 2019-03-12 |
| 1952868390 | Dr. Matt Isner, Dc, Pllc | Chiropractor | 912 Lily Creek Rd Ste 200, Louisville, KY 40243-2815 | 2019-02-21 |
| 1326535238 | Optimum Health Center | Chiropractor | 9913 Shelbyville Rd Ste 102, Louisville, KY 40223-2907 | 2018-04-16 |
| 1205339686 | Fall City Chiropractic | Chiropractor | 3050 W Broadway Ste F, Louisville, KY 40211-1475 | 2018-03-13 |
| Find all providers in LOUISVILLE | ||||
| City | LOUISVILLE |
| Zip Code | 40245 |
Please comment or provide details below to improve the information on RADIANT.
| 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.