Organization Active NPI

Nikolas Steven Rademaker

  • Family Nurse Practitioner
  • Spokane, WA
National Provider Identifier
1194556795
Registry record updated Oct 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
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

Updated by the provider on Oct 29, 2024

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)CodeLicenseStatePrimary
Family Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 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

IdentifierTypeStateIssuer
1144996661MedicaidWA

Other names 1

  • Nik Rademaker, DNP-FNP Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

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.

Verify at the official NPI Registry.