JOANNA E TEDFORD


Address: 4174 Starlight Ave, Decatur, IL 62526-1290
Phone: 2175215240

JOANNA E TEDFORD (NPI# 1326502998) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1326502998
Entity Type Individual
Full Name JOANNA E TEDFORD
Practice Address 4174 Starlight Ave
Decatur
IL 62526-1290
Practice Telephone 2175215240
Mailing Telephone 2175215240
Enumeration Date 2019-01-28
Last Update Date 2019-01-28
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 163WH0200X Registered Nurse
Specialization: Home Health
041429726 IL Nursing Service Providers

Office Location

Street Address 4174 STARLIGHT AVE
City DECATUR
State IL
Zip Code 62526-1290

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NPI Name Taxonomy Address Enumeration
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1083166326 Whitney Miller Pharmacist 225 East Ash Ave, Decatur, IL 62526 2016-11-03
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1659787893 Stephanie Marie Kanitsch Obstetrics & Gynecology 544 W Pershing Rd Ste A, Decatur, IL 62526 2014-07-09
1497169973 Brian Hassinger Audiologist-Hearing Aid Fitter 2605 N Water St Ste 101, Decatur, IL 62526 2014-06-12
1891041570 Decatur 2016 LLC Dentist 141 Epershing Rd, Decatur, IL 62526 2012-07-31
1558639005 Larry Lee Christensen Pharmacist 225 Ash Ave, Decatur, IL 62526 2011-12-12
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Taxonomy Information

Taxonomy Code 163WH0200X
Grouping Nursing Service Providers
Classification Registered Nurse
Specialization Home Health

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1093743742 Millicent M. Byrd Registered Nurse 1670 Clairmont Rd, 170-c, Decatur, GA 30033-4004 2006-06-30

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1821699877 Lauren Elizabeth Danzie Registered Nurse 4319 Mann St, Oak Forest, IL 60452-4328 2020-11-05
1184249328 Ibg Home Nursing LLC Registered Nurse 3422 W 137th St, Robbins, IL 60472-1606 2020-06-13
1457975245 Deborah Marie Moore-thompson Registered Nurse 9413 S Throop St, Chicago, IL 60620-3625 2020-06-08
1932723988 Mercy Reigns Homecare Services Ltd Registered Nurse 3116 Prairie St, Aurora, IL 60506-9229 2020-06-05
1760017917 Vince Jude Ehrenberg Registered Nurse 5536 N Virginia Ave, Chicago, IL 60625-3918 2020-03-09
1609416270 Mackenzie Rutledge Registered Nurse 24761 W Russell Ln, Mundelein, IL 60060-9598 2020-01-13
1922641513 Janthina Suzel Olascoaga Registered Nurse 3723 W 70th St, Chicago, IL 60629-4232 2019-10-25
1487110896 Gail Briggs Registered Nurse 1219 E 170th St, South Holland, IL 60473-3588 2019-02-11
1982188546 Nancy Yee Registered Nurse 1332 N Burling St, Chicago, IL 60610-5265 2018-09-19
1154817823 Ada Oguejiofor Registered Nurse 269 Norway Drive, Bartlett, IL 60103 2018-07-06
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Competitor

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City DECATUR
Zip Code 62526

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Dataset Information

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.

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