Tammy Radionoff, NP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

470280351 Issued in MI

Practice address

400 Hobart St
Cadillac, MI 49601-2331

Phone

(231) 876-6421

Fax

(231) 876-6430

NPI assigned

Aug 11, 2018

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

• Beaver Island Rural Health Center

  • Rural Health Clinic/Center
  • Beaver Island, MI
  • NPI 1407828080

  W-2 Managing Employee

  CMS ownership

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Beaver Island Rural Health Center

  • Rural Health Clinic/Center
  • Beaver Island, MI
  • NPI 1407828080
  Medicare reassignment NPD
• Munson Healthcare Cadillac

  • Rural Health Clinic/Center
  • MC Bain, MI
  • NPI 1336539063
  Medicare reassignment NPD
• Onsight, Inc.

  • Podiatrist
  • East Lansing, MI
  • NPI 1821248568
  Medicare reassignment NPD
• Munson Healthcare Cadillac

  • Family Medicine Physician
  • Cadillac, MI
  • NPI 1487051611
  NPD
• Munson Healthcare Cadillac

  • Psychiatry Physician
  • Traverse City, MI
  • NPI 1720955081
  NPD
• Onsight, Inc.

  • Dentist
  • East Lansing, MI
  • NPI 1730339474
  NPD
• Onsight, Inc.

  • Optometrist
  • East Lansing, MI
  • NPI 1831356807
  NPD
• Munson Healthcare Cadillac

  • Urology Physician
  • Cadillac, MI
  • NPI 1932726577
  NPD (past)

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

{
    "created_epoch": "1533945600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1672876800000",
    "number": "1245719194",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 HOBART ST",
            "city": "CADILLAC",
            "state": "MI",
            "postal_code": "496012331"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 HOBART ST",
            "city": "CADILLAC",
            "state": "MI",
            "postal_code": "496012331",
            "telephone_number": "231-876-6421",
            "fax_number": "231-876-6430"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "799 Yacks Dr",
            "address_purpose": "LOCATION",
            "city": "Beulah",
            "state": "MI",
            "postal_code": "496179119",
            "country_code": "US",
            "telephone_number": "231-499-6295",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1465 E Parkdale Ave",
            "address_purpose": "LOCATION",
            "city": "Manistee",
            "state": "MI",
            "postal_code": "496609709",
            "country_code": "US",
            "telephone_number": "231-876-6421",
            "fax_number": "231-876-6430",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RADIONOFF",
        "first_name": "TAMMY",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-08-11",
        "last_updated": "2023-01-05",
        "certification_date": "2023-01-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MI",
            "license": "4704280351",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MI",
            "license": "470280351",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ann Tracy Puruleski, RN
• Quest Diagnostics Clinical Laboratories Inc
• Quest Diagnostics Incorporated Mi
• Isiah Thomas Raby
• Radiant Growth Counseling PLLC
• Brenda Jo Ragan, PHARMD
• Katie Ranes, LMSW
• Brett Avery Ransom
• Scott Reagan, DC
• Maxwell Reaume, DDS

• Nurse Practitioner in Cadillac, MI
• Providers in Cadillac, MI by specialty
• Nurse Practitioner in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.