Regine Marie-Pierre Radavich, RCS RN

Primary specialty

Home Health Registered NurseTaxonomy code 163WH0200X

Practice address

W6496 37TH Street
New Lisbon, WI 53950

Phone

(608) 562-5775

Fax

(608) 562-5775

NPI assigned

May 2, 2007

Last updated

Jul 9, 2007By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1178064000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1093937807",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "W6496 37TH STREET",
            "city": "NEW LISBON",
            "state": "WI",
            "postal_code": "53950",
            "telephone_number": "608-562-5775",
            "fax_number": "608-562-5775"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "W6496 37TH STREET",
            "city": "NEW LISBON",
            "state": "WI",
            "postal_code": "53950",
            "telephone_number": "608-562-5775",
            "fax_number": "608-562-5775"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RADAVICH",
        "first_name": "REGINE",
        "middle_name": "MARIE-PIERRE",
        "credential": "RCS RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-02",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WH0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Home Health",
            "state": "WI",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "40002600",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Morgan Lindsey Phillips
• Sonja Preuss
• Michael Raabe, RPH
• Thomas A Raabe, RPH
• Raabe's Pharmacy S.C.
• Bret Reynolds, M.D.
• Anna Kathryn Roewe, MS
• Ashley Candis Roller, MSW, APSW
• Charles M Rubash, DDS
• Robin Belle Smith, L.AC

• Home Health Registered Nurse in New Lisbon, WI
• Providers in New Lisbon, WI by specialty
• Home Health Registered Nurse in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.