GRACE PURCELL RAEDEKE MD
NPI 1356286942
Student in an Organized Health Care Education/Training Program in Lubbock, TX

Active since April 21, 2026
3601 4TH ST STOP 8340, LUBBOCK, TX 79430(806) 743-1946 Get Directions Write a Review

NPPES record last updated: April 21, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Grace Purcell Raedeke Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

GRACE PURCELL RAEDEKE MD (NPI 1356286942) is an individual student in an organized health care education/training program in Lubbock, Texas and active in the NPI registry since April 2026.

NPPES Registry Identity

NPI1356286942
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameGRACE PURCELL RAEDEKECredential: MD
Location Address3601 4TH ST STOP 8340Lubbock, TX 79430-8340
Mailing Address4017 123rd StLubbock, TX 79423-7511
Sole ProprietorNo
Enumeration DateApril 21, 2026
NPPES CertifiedApril 21, 2026
NPI 1356286942 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
3601 4TH ST STOP 8340, Lubbock, TX 79430

Other Providers at the Same Location NPPES 10

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Student in an Organized Health Care Education/Training Program
3601 4TH ST STOP 8340
LUBBOCK, TX 79430
Obstetrics & Gynecology
3601 4TH ST STOP 8340
LUBBOCK, TX 79430
Nurse Practitioner
3601 4TH ST STOP 8340
LUBBOCK, TX 79430
Student in an Organized Health Care Education/Training Program
3601 4TH ST STOP 8340
LUBBOCK, TX 79430
Student in an Organized Health Care Education/Training Program
3601 4TH ST STOP 8340
LUBBOCK, TX 79430
Student in an Organized Health Care Education/Training Program
3601 4TH ST STOP 8340
LUBBOCK, TX 79430
Student in an Organized Health Care Education/Training Program
3601 4TH ST STOP 8340
LUBBOCK, TX 79430
Student in an Organized Health Care Education/Training Program
3601 4TH ST STOP 8340
LUBBOCK, TX 79430

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Grace Raedeke's NPI number?

The NPI number for Grace Raedeke is 1356286942. It was assigned to this individual provider in the NPPES registry on April 21, 2026.

Where is Grace Raedeke located?

Grace Raedeke practices at 3601 4th St Stop 8340, Lubbock, TX 79430. The listed phone number is (806) 743-1946.

What is Grace Raedeke's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Grace Raedeke was last updated on April 21, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.