Roxanne D Radich, APNP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

2351-33 Issued in WI

Practice address

3916 N Intertech CT
Appleton, WI 54913-6957

Phone

(920) 996-1000

Fax

(920) 996-1050

NPI assigned

Sep 22, 2005

Last updated

Mar 11, 2022By 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 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Nurse Specialist, Nurse Practitioner

Practice roles

Interoperability endpoints

• Direct secure messaging: rradich22002@direct.thedacare.org

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Thedacare Medical Center - Shawano, Inc.

  • Critical Access Hospital
  • Shawano, WI
  • NPI 1548260839
  NPD (past)

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

{
    "created_epoch": "1127347200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1646956800000",
    "number": "1639165962",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7543 SUNBURST LN",
            "city": "NEENAH",
            "state": "WI",
            "postal_code": "549569016",
            "telephone_number": "920-851-2458"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3916 N INTERTECH CT",
            "city": "APPLETON",
            "state": "WI",
            "postal_code": "549136957",
            "telephone_number": "920-996-1000",
            "fax_number": "920-996-1050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RADICH",
        "first_name": "ROXANNE",
        "middle_name": "D",
        "credential": "APNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-09-22",
        "last_updated": "2022-03-11",
        "certification_date": "2022-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "WI",
            "license": "2351-33",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Quirt Family Dentistry, SC (Smiles on Calumet)
• Gail Rabe, LPC
• Mary Rabideau, RN
• Dharshika Radhakrishnan, MSCPT
• Radiation Oncology Specialists, SC
• Radiology Associates of Appleton, S.C. (Radiation Oncology Specialists)
• Radiology Associates of Appleton, S.C.
• Toni Radish
• Deirdre Radosevich, PHD
• Brynn Radtke

• Nurse Practitioner in Appleton, WI
• Providers in Appleton, WI by specialty
• Nurse Practitioner in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2022; 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.