Michealene M Redemske, APRN

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

209.006458 Issued in IL

Practice address

16532 Oak Park Ave
Suite 101
Tinley Park, IL 60477-1918

Phone

(708) 429-2220

NPI assigned

Feb 6, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/20135/brand/1/csg/1/fhir/r4

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.

• Dinesh K. Jain

  • Geriatric Medicine (Internal Medicine) Physician
  • Tinley Park, IL
  • NPI 1407801715
  NPD (past)

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

{
    "created_epoch": "1170720000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1356480933",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "119 CENTER RD",
            "city": "FRANKFORT",
            "state": "IL",
            "postal_code": "604231503",
            "telephone_number": "815-464-6276"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16532 OAK PARK AVE",
            "address_2": "SUITE 101",
            "city": "TINLEY PARK",
            "state": "IL",
            "postal_code": "604771918",
            "telephone_number": "708-429-2220"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REDEMSKE",
        "first_name": "MICHEALENE",
        "middle_name": "M",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-06",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "209.006458",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Merva Razzak
• Rci (WRS), LLC.
• Rd Woods MD LLC
• Recover at Home Inc
• Recover at Home Inc
• Angelica Reed, RBT
• Amanda Nicole Reeder
• Reesources LLC
• Courtney Danielle Reeves
• Karen Marie Regan, RRT-NPS,CPFT,RCP

• Family Nurse Practitioner in Tinley Park, IL
• Providers in Tinley Park, IL by specialty
• Family Nurse Practitioner in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.