Vicky Lynn Radel, R.N., L. AC.

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

1071 Issued in MN

Practice address

6311 Wayzata Blvd
Suite 210
St Louis Park, MN 55416-1209

Phone

(952) 545-0200

Fax

(952) 545-6388

NPI assigned

Mar 3, 2007

Last updated

Jul 8, 2007By 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)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1172880000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1699804047",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6311 WAYZATA BLVD",
            "address_2": "SUITE 210",
            "city": "ST LOUIS PARK",
            "state": "MN",
            "postal_code": "554161209",
            "telephone_number": "952-545-0200",
            "fax_number": "952-545-6388"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6311 WAYZATA BLVD",
            "address_2": "SUITE 210",
            "city": "ST LOUIS PARK",
            "state": "MN",
            "postal_code": "554161209",
            "telephone_number": "952-545-0200",
            "fax_number": "952-545-6388"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RADEL",
        "first_name": "VICKY",
        "middle_name": "LYNN",
        "name_prefix": "Mrs.",
        "credential": "R.N., L. AC.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-03",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "MN",
            "license": "1071",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Karen Elizabeth Rabenau, M.D.
• Erika J. Rabeni, M.D.
• Mark David Rabinovitch, MD
• Ira Rabinowitz, DMD
• Alicia Rae Radel, OTR/L
• Laura Elizabeth Rademacher, M.A.
• Gail A Radosevich, RD, CDE
• Kristen R Radtke
• Sandra Y Rae, OTRL
• Kevin S Raff, MD

• Acupuncturist in St Louis Park, MN
• Providers in St Louis Park, MN by specialty
• Acupuncturist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.