Rader Clinic

Primary specialty

Military/U.S. Coast Guard Outpatient Clinic/CenterTaxonomy code 261QM1100X

License

495950 Issued in CA

Legal business name

RADER CLINIC

Practice address

401 Carpenter Rd
Fort Myer, VA 22211-1009

Phone

(703) 696-3447

NPI assigned

Oct 31, 2005

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Stacy Eva Usher, NP

Title

Family Nurse Practitioner

Phone

(703) 696-3447

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Greta Lynn Krapohl, RN

  • Administrator Registered Nurse
  • Fort Myer, VA
  • NPI 1346221504
  NPD (past)

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

{
    "created_epoch": "1130716800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1368489600000",
    "number": "1518958545",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 CARPENTER RD",
            "city": "FORT MYER",
            "state": "VA",
            "postal_code": "222111009",
            "telephone_number": "703-696-3447"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 CARPENTER RD",
            "city": "FORT MYER",
            "state": "VA",
            "postal_code": "222111009",
            "telephone_number": "703-696-3447"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RADER CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-31",
        "last_updated": "2013-05-14",
        "status": "A",
        "authorized_official_last_name": "USHER",
        "authorized_official_first_name": "STACY",
        "authorized_official_middle_name": "EVA",
        "authorized_official_title_or_position": "FAMILY NURSE PRACTITIONER",
        "authorized_official_telephone_number": "703-696-3447",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "261QM1100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Military/U.S. Coast Guard Outpatient",
            "state": "CA",
            "license": "495950",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• National Vision, Inc.
• Duong Nguyen, MD
• Katherine Ong
• Michael Earl Parker, M.D,M.P.H.
• Jeffery Scott Porter, DO
• Marisa Sanchez Renz, MD
• Steve Paul Rose, D.D.M.
• Miriam Maxwell Sanders, R.N.
• Jeffery Ryan Showalter, PSY.D.
• Kishwar Sultana Sial, M.D

• Military/U.S. Coast Guard Outpatient Clinic/Center in Fort Myer, VA
• Providers in Fort Myer, VA by specialty
• Military/U.S. Coast Guard Outpatient Clinic/Center in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2013; 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.