Grace Diana Reddington, RN

Primary specialty

Continuing Education/Staff Development Registered NurseTaxonomy code 163WC1600X

License

28186830A Issued in IN

Practice address

3555 Park PL W Ste 100
Mishawaka, IN 46545-3587

Phone

(574) 254-1041

NPI assigned

Oct 4, 2023

Last updated

Oct 4, 2023By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

Practice roles

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.

• Traditions Hospice of Crown Point, LLC

  dba The Care Team Hospice

  • Community Based Hospice Care Agency
  • Crown Point, IN
  • NPI 1922600386
  NPD (past)

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

{
    "created_epoch": "1696377600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696377600000",
    "number": "1679353726",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3100 IVY TECH DR",
            "city": "VALPARAISO",
            "state": "IN",
            "postal_code": "463838446",
            "telephone_number": "219-464-8514"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3555 PARK PL W STE 100",
            "city": "MISHAWAKA",
            "state": "IN",
            "postal_code": "465453587",
            "telephone_number": "574-254-1041"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REDDINGTON",
        "first_name": "GRACE",
        "middle_name": "DIANA",
        "name_prefix": "Prof.",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-10-04",
        "last_updated": "2023-10-04",
        "certification_date": "2023-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WC1600X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Continuing Education/Staff Development",
            "state": "IN",
            "license": "28186830A",
            "primary": true
        },
        {
            "code": "163WH1000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Hospice",
            "state": "IN",
            "license": "28186830A",
            "primary": false
        },
        {
            "code": "163WM0705X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Medical-Surgical",
            "state": "IN",
            "license": "28186830A",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Clara Rasler
• Maureen Therese Rasmussen
• Anna Rawlins
• Rci (WRS), LLC.
• Recore Counseling LLC
• Haley Redlin
• Kennedy Faith Reed
• Charles Albert Reger, M.A.
• Paige Nicole Regina, P.T.A.
• Rehabilitation Hospital of Northern Indiana, LLC (Rehabilitation Hospital of Northern Indiana)

• Continuing Education/Staff Development Registered Nurse in Mishawaka, IN
• Providers in Mishawaka, IN by specialty
• Continuing Education/Staff Development Registered Nurse in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 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.