Active NPI
Linda Hickey Radka, ARNP
- Family Nurse Practitioner
- Silverdale, WA
National Provider Identifier
1487797825
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- AP30003171
- Practice address
- 10452 Silverdale Way NW
Silverdale, WA 98383-9411 - Phone
- (360) 307-7300
- Fax
- (360) 307-7739
- NPI assigned
- Feb 15, 2007
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | RN00075276 | WA | |
| Family Nurse Practitioner | 363LF0000X | AP30003171 | WA | Primary |
Addresses
Primary practice location
10452 Silverdale Way NW
Silverdale, WA 98383-9411
Mailing address
10452 Silverdale Way NW
Silverdale, WA 98383-9411
Phone (360) 307-7300
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 9628330 | Medicaid | WA |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| SOAP URL | https://careepicwa.kp.org:14430/Interconnect-CE-PRD/wcf/epic.community.hie/xcpdrespondinggatewaysync | Health Information Exchange (HIE) |
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)
- Enrolled
- Credentials
- Nurse Practitioner
Interoperability endpoints
- lradka43661@ghc.direct-ci.net
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1171497600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1620864000000",
"number": "1487797825",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10452 SILVERDALE WAY NW",
"city": "SILVERDALE",
"state": "WA",
"postal_code": "983839411",
"telephone_number": "360-307-7300",
"fax_number": "360-307-7304"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10452 SILVERDALE WAY NW",
"city": "SILVERDALE",
"state": "WA",
"postal_code": "983839411",
"telephone_number": "360-307-7300",
"fax_number": "360-307-7739"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RADKA",
"first_name": "LINDA",
"middle_name": "HICKEY",
"credential": "ARNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-02-15",
"last_updated": "2021-05-13",
"certification_date": "2021-05-13",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "WA",
"license": "RN00075276",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "WA",
"license": "AP30003171",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "9628330",
"state": "WA"
}
],
"endpoints": [
{
"endpointType": "SOAP",
"endpointTypeDescription": "SOAP URL",
"endpoint": "https://careepicwa.kp.org:14430/Interconnect-CE-PRD/wcf/epic.community.hie/xcpdrespondinggatewaysync",
"affiliation": "N",
"endpointDescription": "Carequality",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "C-CDA",
"address_1": "10452 Silverdale Way NW",
"city": "Silverdale",
"state": "WA",
"country_code": "US",
"postal_code": "983839411",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Silverdale, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.