MRS. PAULINA JEAN RADEMAKER ARNP NPI 1366530826

NPI Information

NPI: 1366530826
Provider Name: MRS. PAULINA JEAN RADEMAKER, ARNP
Classification: Nurse Practitioner - 363LA2200X
Entity Type: Individual

Specialization: Adult Health

Address:
4200 BROWNS LN
LOUISVILLE, KY
ZIP 40220
Phone: (502) 459-8900
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MRS. Paulina Jean Rademaker, ARNP is an adult health nurse practitioner in Louisville, KY. MRS. Paulina Jean Rademaker, ARNP NPI is 1366530826. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

4200 BROWNS LN
LOUISVILLE, KY
ZIP 40220-523
Phone: (502) 459-8900

The enumeration date for this NPI number is 10/10/2006 and was last updated on 7/8/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LA2200X	Nurse Practitioner	Adult Health	3229P	KENTUCKY	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	0778002	MEDICARE ID-TYPE UNSPECIFIED	KENTUCKY
2	000000388346	OTHER	KENTUCKY	BLUE SHIELD
3	78006459	MEDICAID	KENTUCKY
4	P00283357	OTHER	KENTUCKY	RR MEDICARE
5	P14117	MEDICARE UPIN	KENTUCKY

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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