Angela Radonski, RN

Primary specialty

Case Management Registered NurseTaxonomy code 163WC0400X

License

RN60275497 Issued in WA

Practice address

3594 McKinley Ave
Tacoma, WA 98404-3001

Phone

(503) 396-3663

NPI assigned

Sep 8, 2023

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

Other names 1

• Angie Kelley Dyson Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1694131200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694131200000",
    "number": "1679350219",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3594 MCKINLEY AVE",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984043001",
            "telephone_number": "503-396-3663"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3594 MCKINLEY AVE",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984043001",
            "telephone_number": "503-396-3663"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RADONSKI",
        "first_name": "ANGELA",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-09-08",
        "last_updated": "2023-09-08",
        "certification_date": "2023-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WS0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, School",
            "state": "WA",
            "license": "RN60275497",
            "primary": false
        },
        {
            "code": "163WC0400X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Case Management",
            "state": "WA",
            "license": "RN60275497",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANGIE",
            "last_name": "KELLEY DYSON",
            "credential": "CNA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Kristofer Allan Radcliffe, M.D., PH.D.
• Courtney Nicole Raddatz, LMP
• Kimberly Sue Raden
• Crystal Radice-Dunblazier, CVN
• Steven A. Radloff, MD
• Jessica Elizabeth Hagel Radosavljevic, PHARMD.
• Shannon Rae, LMFT
• Michael L Raff, M.D.
• Kai A Raffaele
• Jonathan Raffesberger, DNP, NP-C

• Case Management Registered Nurse in Tacoma, WA
• Providers in Tacoma, WA by specialty
• Case Management Registered Nurse in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2023; 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.