Active NPI
Nikolas Steven Rademaker
- Family Nurse Practitioner
- Spokane, WA
National Provider Identifier
1194556795
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- Legal business name
- NIKOLAS STEVEN RADEMAKER
- Practice address
- 9103 N Division St
Spokane, WA 99218-1251 - Phone
- (509) 467-6060
- Fax
- (509) 467-6518
- NPI assigned
- Aug 13, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Nik Rademaker, DNP-FNP
- Title
- Provider
- Phone
- (509) 954-9786
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | Primary |
Addresses
Primary practice location
9103 N Division St
Spokane, WA 99218-1251
Mailing address
9103 N Division St
Spokane, WA 99218-1251
Phone (509) 467-6060
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144996661 | Medicaid | WA |
Other names 1
- Nik Rademaker, DNP-FNP
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Nurse Practitioner
- Spokane Valley, WA
- NPI 1144996661
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1723507200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1730160000000",
"number": "1194556795",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9103 N DIVISION ST",
"city": "SPOKANE",
"state": "WA",
"postal_code": "992181251",
"telephone_number": "509-467-6060",
"fax_number": "509-467-6518"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9103 N DIVISION ST",
"city": "SPOKANE",
"state": "WA",
"postal_code": "992181251",
"telephone_number": "509-467-6060",
"fax_number": "509-467-6518"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NIKOLAS STEVEN RADEMAKER",
"organizational_subpart": "NO",
"enumeration_date": "2024-08-13",
"last_updated": "2024-10-29",
"certification_date": "2024-10-29",
"status": "A",
"authorized_official_last_name": "RADEMAKER",
"authorized_official_first_name": "NIK",
"authorized_official_title_or_position": "PROVIDER",
"authorized_official_telephone_number": "509-954-9786",
"authorized_official_credential": "DNP-FNP"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner, Family",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1144996661",
"state": "WA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Nik Rademaker, DNP-FNP",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Spokane, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.