Active NPI
Madeline Elizabeth Radzwich, RN
- College Health Registered Nurse
- University Park, PA
National Provider Identifier
1336867647
On this page
Key facts
NPPES NPI Registry- Primary specialty
- College Health Registered Nurse
- License
- RN506879L
- Practice address
- 318 Student Health Ctr
University Park, PA 16802-2129 - Phone
- (814) 863-8448
- NPI assigned
- Aug 22, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| College Health Registered Nurse | 163WC1400X | RN506879L | PA | Primary |
Addresses
Primary practice location
318 Student Health Ctr
University Park, PA 16802-2129
Mailing address
318 Student Health Ctr
University Park, PA 16802-2129
Phone (814) 863-8448
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| RN506879L | Other | PA | PA BOARD OF NURSING |
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | mep124@psu.edu | ||
| Other URL | mep124@psu.edu |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN506879L | PA | MD | College Health Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1661126400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1661126400000",
"number": "1336867647",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "318 STUDENT HEALTH CTR",
"city": "UNIVERSITY PARK",
"state": "PA",
"postal_code": "168022129",
"telephone_number": "814-863-8448"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "318 STUDENT HEALTH CTR",
"city": "UNIVERSITY PARK",
"state": "PA",
"postal_code": "168022129",
"telephone_number": "814-863-8448"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RADZWICH",
"first_name": "MADELINE",
"middle_name": "ELIZABETH",
"credential": "RN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-08-22",
"last_updated": "2022-08-22",
"certification_date": "2022-08-22",
"status": "A"
},
"taxonomies": [
{
"code": "163WC1400X",
"taxonomy_group": "",
"desc": "Registered Nurse, College Health",
"state": "PA",
"license": "RN506879L",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PA BOARD OF NURSING",
"identifier": "RN506879L",
"state": "PA"
}
],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "mep124@psu.edu",
"affiliation": "N",
"address_1": "318 Student Health Ctr",
"city": "University Park",
"state": "PA",
"country_code": "US",
"postal_code": "168022129",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "mep124@psu.edu",
"affiliation": "N",
"address_1": "318 Student Health Ctr",
"city": "University Park",
"state": "PA",
"country_code": "US",
"postal_code": "168022129",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in University Park, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.