McKenzie Kristine Radloff I

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

Practice address

1000 Goeglein Gulch Rd Unit 2146
Durango, CO 81301-7909

Phone

(218) 391-1653

NPI assigned

Sep 11, 2023

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)

Not enrolled

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

{
    "created_epoch": "1694390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694390400000",
    "number": "1376320879",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 GOEGLEIN GULCH RD UNIT 2146",
            "city": "DURANGO",
            "state": "CO",
            "postal_code": "813017909",
            "telephone_number": "218-391-1653"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 GOEGLEIN GULCH RD UNIT 2146",
            "city": "DURANGO",
            "state": "CO",
            "postal_code": "813017909",
            "telephone_number": "218-391-1653"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RADLOFF",
        "first_name": "MCKENZIE",
        "middle_name": "KRISTINE",
        "name_prefix": "Ms.",
        "name_suffix": "I",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-09-11",
        "last_updated": "2023-09-11",
        "certification_date": "2023-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sejal S Quayle, M.D.
• Lexi Kathryn Querio, PA-C
• Angel Morningstar Raddatz
• Carrie Lynne Radding, PMHNP-APN
• Radiology Associates of Durango PC
• Nancy Raffaele-Ilic, MA, LPCC
• Ragsdale and Associates, PC
• Emily Ragsdale-Kuepper, PSYD
• John William Ragsdale, PH.D.
• Mark Raymond Rahner, O.D.

• Behavior Technician in Durango, CO
• Providers in Durango, CO by specialty
• Behavior Technician in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2023; 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.