Individual provider Active NPI

Radeshia Herman

  • Psychiatric/Mental Health Nurse Practitioner
  • Cedar Rapids, IA
National Provider Identifier
1477342186
Registry record updated May 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
G184247 Issued in IA
Practice address
1410 N St SW
Cedar Rapids, IA 52404-2744
Phone
(319) 621-5935
NPI assigned
May 1, 2025
Sex
Unspecified or another gender identity
Sole proprietor
No

Organizations & group practices 8

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.

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Community Health Center of Fort Dodge Inc 23 clinicians

Practice addresses (Care Compare)

126 N 10TH St
Fort Dodge, IA 50501-3915
Phone (515) 576-6500

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250724000583 IA Practitioner - Nurse Practitioner 7911413067 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Community Health Center of Fort Dodge Inc. CurrentSince Jul 1, 2025 Accepting new patients
Community Health Center of Fort Dodge, Inc. CurrentSince Jul 1, 2025 Accepting new patients
Signify Health Medical Associates, PLLC CurrentSince Dec 31, 2025 Accepting new patients

Locations

24 S Main St
Dayton, IA 50530
Phone (515) 547-2974

400 E Court Ave
Ste 110
Des Moines, IA 50309

126 N 10th St
Fort Dodge, IA 50501
Phone (515) 576-6500

4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X G184247 IA Primary

Addresses

NPPES NPI Registry

Primary practice location

1410 N St SW
Cedar Rapids, IA 52404-2744

Mailing address

1410 N St SW
Cedar Rapids, IA 52404-2744
Phone (319) 621-5935

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on May 1, 2025.

{
    "created_epoch": "1746057600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1746057600000",
    "number": "1477342186",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1410 N ST SW",
            "city": "CEDAR RAPIDS",
            "state": "IA",
            "postal_code": "524042744",
            "telephone_number": "319-621-5935"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1410 N ST SW",
            "city": "CEDAR RAPIDS",
            "state": "IA",
            "postal_code": "524042744",
            "telephone_number": "319-621-5935"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERMAN",
        "first_name": "RADESHIA",
        "sole_proprietor": "NO",
        "sex": "X",
        "enumeration_date": "2025-05-01",
        "last_updated": "2025-05-01",
        "certification_date": "2025-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "IA",
            "license": "G184247",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cedar Rapids, IA

Sources for this page

Verify at the official NPI Registry.