Jonathon Raddish, C.N.P.

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

COA.16114-NP Issued in OH

Practice address

4302 Allen Rd Ste 300
Stow, OH 44224-1070

Phone

(330) 945-7246

NPI assigned

Oct 6, 2014

Sex

Male

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 Practitioner

State licenses

Practice roles

Locations

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

• Humanistic Counseling Center LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Lyndhurst, OH
  • NPI 1205829090
  NPD

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

{
    "created_epoch": "1412553600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1417910400000",
    "number": "1699178590",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4302 ALLEN RD STE 300",
            "city": "STOW",
            "state": "OH",
            "postal_code": "442241070",
            "telephone_number": "330-945-7246"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4302 ALLEN RD STE 300",
            "city": "STOW",
            "state": "OH",
            "postal_code": "442241070",
            "telephone_number": "330-945-7246"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RADDISH",
        "first_name": "JONATHON",
        "name_prefix": "Mr.",
        "credential": "C.N.P.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-10-06",
        "last_updated": "2014-12-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "OH",
            "license": "COA.16114-NP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Purpose Driven Therapy LLC
• Myung Jin Kara Purves, IMFT
• Quez Therapeutic Solutions LLC
• Quickclinic
• Quickclinic, LLC
• Radiology Specialists LTD. LLC
• Ron Rahe, R.PH
• Rakesh Ranjan M.D. & Assoc., Inc.
• Lauren Ramey, ATC, PTA
• David Michael Ramos

• Adult Health Nurse Practitioner in Stow, OH
• Providers in Stow, OH by specialty
• Adult Health Nurse Practitioner in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2014; 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.