Active NPI
Karen Gail Radencic
- Developmental Therapist
- Schererville, IN
National Provider Identifier
1487201778
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Developmental Therapist
- Practice address
- 221 US Highway 41 Ste H
Schererville, IN 46375-1278 - Phone
- (219) 322-1600
- Fax
- (219) 322-9787
- NPI assigned
- Aug 21, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Developmental Therapist | 222Q00000X | Primary |
Addresses
Primary practice location
221 US Highway 41 Ste H
Schererville, IN 46375-1278
Mailing address
221 US Highway 41 Ste H
Schererville, IN 46375-1278
Phone (219) 322-1600
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1566345600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1566345600000",
"number": "1487201778",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "221 US HIGHWAY 41 STE H",
"city": "SCHERERVILLE",
"state": "IN",
"postal_code": "463751278",
"telephone_number": "219-322-1600",
"fax_number": "219-322-9787"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "221 US HIGHWAY 41 STE H",
"city": "SCHERERVILLE",
"state": "IN",
"postal_code": "463751278",
"telephone_number": "219-322-1600",
"fax_number": "219-322-9787"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RADENCIC",
"first_name": "KAREN",
"middle_name": "GAIL",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-08-21",
"last_updated": "2019-08-21",
"status": "A"
},
"taxonomies": [
{
"code": "222Q00000X",
"taxonomy_group": "",
"desc": "Developmental Therapist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Schererville, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.