Debra Lynn Radomski, APRN-BC GNP

Primary specialty

Gerontology Nurse PractitionerTaxonomy code 363LG0600X

License

253968 Issued in TX

Practice address

711 W Bay Area Blvd
Suit 500
Webster, TX 77598-4043

Phone

(281) 554-2200

NPI assigned

Aug 1, 2006

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

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.

• Geriatric Associates of America-Texas, PLLC

  • Internal Medicine Physician
  • Webster, TX
  • NPI 1669682886

  Gerontology

  NPD (past)

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

{
    "created_epoch": "1154390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1225152000000",
    "number": "1376550863",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "711 W BAY AREA BLVD",
            "address_2": "SUIT 500",
            "city": "WEBSTER",
            "state": "TX",
            "postal_code": "775984043",
            "telephone_number": "281-554-2200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "711 W BAY AREA BLVD",
            "address_2": "SUIT 500",
            "city": "WEBSTER",
            "state": "TX",
            "postal_code": "775984043",
            "telephone_number": "281-554-2200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RADOMSKI",
        "first_name": "DEBRA",
        "middle_name": "LYNN",
        "credential": "APRN-BC GNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-01",
        "last_updated": "2008-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "TX",
            "license": "253968",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "038057802",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Quest Diagnostics Clinical Laboratories Inc
• Jose A. Quinones, MD
• R Patrick Rudy MD PA
• Anna Marie Rabalais, PA-C
• Larry John Radney, DDS MSD
• Sarah Radwan
• Christina Luise Horn Rafiei, MD
• David Raimer, MD
• Rainforest Dental of Webster, PLLC
• Saba Raja, MD

• Gerontology Nurse Practitioner in Webster, TX
• Providers in Webster, TX by specialty
• Gerontology Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2008; 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.