Tina Redick, LPN
Individual provider Active NPI Licensed Practical Nurse · West Falls, NY
NPI 1366816498 · NPPES record last updated Dec 1, 2015
Key facts
- NPI
- 1366816498
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Licensed Practical Nurse 164W00000X
- License
- 179999 (NY)
- Practice address
- 522 W Falls Rd
West Falls, NY 14170-9711 - Phone
- (716) 425-0289
- NPI assigned
- Dec 1, 2015
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 179999 | NY | MD | Licensed Practical Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Licensed Practical Nurse | 164W00000X | 179999 | NY | Yes |
Addresses
Primary practice location
522 W Falls Rd
West Falls, NY 14170-9711
Mailing address
522 W Falls Rd
West Falls, NY 14170-9711
Phone (716) 425-0289
Other providers in West Falls, NY
- Independent Nursing Care L.L.C
- Independent Nursing Care L.L.C.
- Katherine J Struebing
- Molly Kae Nuernberger
- Angela Jeanne Pusztay
- Therabootie LLC
- Jill Ann Tiebor-Franz
All providers in West Falls, NY · Licensed Practical Nurse in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 1, 2015. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.