Vickie Radish, R.T.

Primary specialty

Radiography Radiologic TechnologistTaxonomy code 2471C3402X

License

297648 Issued in WI

Practice address

2626 N 76TH St
Wauwatosa, WI 53213-1137

Phone

(414) 771-9171

NPI assigned

Feb 6, 2017

Last updated

Feb 6, 2017By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1486339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1486339200000",
    "number": "1558809020",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2626 N 76TH ST",
            "city": "WAUWATOSA",
            "state": "WI",
            "postal_code": "532131137",
            "telephone_number": "414-771-9171"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2626 N 76TH ST",
            "city": "WAUWATOSA",
            "state": "WI",
            "postal_code": "532131137",
            "telephone_number": "414-771-9171"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RADISH",
        "first_name": "VICKIE",
        "credential": "R.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-02-06",
        "last_updated": "2017-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2471V0106X",
            "taxonomy_group": "",
            "desc": "Radiologic Technologist, Vascular-Interventional Technology",
            "state": "WI",
            "license": "297648",
            "primary": false
        },
        {
            "code": "2471C3402X",
            "taxonomy_group": "",
            "desc": "Radiologic Technologist, Radiography",
            "state": "WI",
            "license": "297648",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marie Quast
• Angela Marie Quinn
• George H Rabey, P.A.
• Benjamin M Rader
• Mary Rader
• Glenn Francis Ragalie, M.D.
• Latha Raja Shankar, M.D.
• Rachel Rakow
• Aishwarya Ramamurthi
• Sarah J Ramirez, PA-C

• Radiography Radiologic Technologist in Wauwatosa, WI
• Providers in Wauwatosa, WI by specialty
• Radiography Radiologic Technologist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2017; 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.