MS. JEANINE MARIE TACKLA (NPI# 1255612537) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255612537 |
| Entity Type | Individual |
| Full Name | MS. JEANINE MARIE TACKLA |
| Other Name | MS. JEANINE MARIE WALKENHORST |
| Credential | RN, CNOR, CRNFA |
| Practice Address |
924 Burnham Ct Glenview IL 60025-4140 |
| Practice Telephone | 8474861197 |
| Mailing Telephone | 8474861197 |
| Enumeration Date | 2011-08-31 |
| Last Update Date | 2011-08-31 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WR0006X |
Registered Nurse Specialization: Registered Nurse First Assistant |
095692 | IL | Nursing Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CNOR, CRNFA | 095692 | 01 | |
| IL | REGISTERED PROFESSIONAL NURSE | 041214374 | 01 |
| Street Address |
924 BURNHAM CT |
| City | GLENVIEW |
| State | IL |
| Zip Code | 60025-4140 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790287118 | Nl Speech and Language Path LLC | Speech-Language Pathologist | 1315 Sherwood Rd., Glenview, IL 60025 | 2018-03-01 |
| 1982128021 | Quinn Goodwin | Speech-Language Pathologist | 41 Waukegan Rd., Glenview, IL 60025 | 2017-07-31 |
| 1447773684 | Roshni Jaimon | Nurse Practitioner | 616 Meadow Dr, Glenview, IL 60025 | 2017-07-19 |
| 1053840488 | Progressive Behavior Solutions LLC | Behavioral Analyst | 2519 Allison Court, Glenview, IL 60025 | 2017-06-08 |
| 1720529969 | Catherine Marquard | Social Worker | 1949 Robincrest Ln, Glenview, IL 60025 | 2017-03-20 |
| 1073055398 | Imad Dababneh | Optometrist | 4150 Williamsburg Ct. Apt 101, Glenview, IL 60025 | 2016-11-17 |
| 1417400565 | Megan Bowman | Nutritionist | 1332 Waukegan Rd., Glenview, IL 60025 | 2016-07-25 |
| 1548621402 | Integrated Care Servises Corp | In Home Supportive Care | 4001 Amalfi Dr., Glenview, IL 60025 | 2016-03-18 |
| 1003277237 | Caring Nurses, Inc | Home Health | 1701 East Lake Ave, Suite 360, Glenview, IL 60025 | 2016-03-16 |
| 1033570841 | Sumy Johny | Pharmacist | 25 Waukegan Road, Glenview, IL 60025 | 2016-03-08 |
| Find all providers in zip 60025 | ||||
| Taxonomy Code | 163WR0006X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Registered Nurse First Assistant |
| A perioperative registered nurse who works in collaboration with the surgeon and other health care team members to achieve optimal outcomes. The RNFA has acquired the necessary knowledge, judgment, and skills specific to the expanded role of RNFA clinical practice. Intraoperatively, the RNFA assists the surgeon. |
| Notes: Source: AORN Official Statement on RNFAs ratified by the AORN House of Delegates in 2004. [7/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356830681 | Anna Wiktoria Siepierska | Registered Nurse | 4220 W 95th St Ste 1000, Oak Lawn, IL 60453-2793 | 2018-05-02 |
| 1588040349 | Dana Young | Registered Nurse | 104 E Ashland Ave, Mt Zion, IL 62549-1271 | 2015-08-04 |
| 1700288115 | Susan Jean Brach | Registered Nurse | 393 South Williams Road, Inverness, IL 60067-4559 | 2014-09-17 |
| 1801298302 | Kim Opalacz | Registered Nurse | 17613 71st Ave, Tinley Park, IL 60477-3817 | 2014-09-16 |
| 1972843175 | Surgical Assistant Innovations, LLC | Registered Nurse | 1236 Shagbark Ct, Fox Lake, IL 60020-0806 | 2013-02-25 |
| 1386914430 | Barbara Sue Giffin | Registered Nurse | 305 W. Jackson Suite 402, Carbondale, IL 62901 | 2012-01-06 |
| 1760623664 | Gerise M. Martinez | Registered Nurse | 8955 N 1000w Rd, Manteno, IL 60950-3587 | 2009-03-23 |
| 1518119650 | Shauna L Bostian | Registered Nurse | 12 Park Pl Ste B, Swansea, IL 62226-2923 | 2008-10-21 |
| 1194973636 | Janis Clare Jurkus | Registered Nurse | 5802 Staunton Rd, Edwardsville, IL 62025-6322 | 2008-09-08 |
| 1417130022 | Barbara Allen | Registered Nurse | 412 Wilshire Dr, Colona, IL 61241-9658 | 2007-12-06 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.