Active NPI
Jacquie Sue Rademacher, RN
- Registered Nurse
- Coopersburg, PA
National Provider Identifier
1669385647
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- RN217124L
- Practice address
- 6764 Walnut LN
Coopersburg, PA 18036-1126 - Phone
- (904) 556-4264
- NPI assigned
- Sep 23, 2026
- Last updated
- Sep 23, 2026
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | RN217124L | PA | Primary |
Addresses
Primary practice location
6764 Walnut LN
Coopersburg, PA 18036-1126
Mailing address
6764 Walnut LN
Coopersburg, PA 18036-1126
Phone (904) 556-4264
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| RN217124L | Other | PA | STATE BOARD OF NURSING |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1790121600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1790121600000",
"number": "1669385647",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6764 WALNUT LN",
"city": "COOPERSBURG",
"state": "PA",
"postal_code": "180361126",
"telephone_number": "904-556-4264"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6764 WALNUT LN",
"city": "COOPERSBURG",
"state": "PA",
"postal_code": "180361126",
"telephone_number": "904-556-4264"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RADEMACHER",
"first_name": "JACQUIE",
"middle_name": "SUE",
"credential": "RN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2026-09-23",
"last_updated": "2026-09-23",
"certification_date": "2026-09-23",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "PA",
"license": "RN217124L",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE BOARD OF NURSING",
"identifier": "RN217124L",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Coopersburg, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.