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).
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 |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 163WH0200X |
Registered Nurse Specialization: Home Health |
041429726 | IL | Nursing Service Providers |
Street Address |
4174 STARLIGHT AVE |
City | DECATUR |
State | IL |
Zip Code | 62526-1290 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1083100804 | Coalition | Non-emergency Medical Transport (VAN) | 2375 N Longwood Dr, Decatur, IL 62526 | 2018-07-04 |
1881116820 | Bria N Howard | Nurse's Aide | 606 E Warren St. Apt 609, Decatur, IL 62526 | 2017-07-12 |
1437683679 | Lutheran Child and Family Services | Foster Care Agency | 2826 N. Monroe Street, Decatur, IL 62526 | 2017-04-14 |
1083166326 | Whitney Miller | Pharmacist | 225 East Ash Ave, Decatur, IL 62526 | 2016-11-03 |
1487053369 | Central Illinois Health Associates, Inc | Preferred Provider Organization | 2300 N. Edward Street, Decatur, IL 62526 | 2014-08-18 |
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 |
1174821540 | Nathan Pyle | Internal Medicine | 2 Memorial Dr Ste 101, Decatur, IL 62526 | 2011-03-08 |
Find all providers in zip 62526 |
Taxonomy Code | 163WH0200X |
Grouping | Nursing Service Providers |
Classification | Registered Nurse |
Specialization | Home Health |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1093743742 | Millicent M. Byrd | Registered Nurse | 1670 Clairmont Rd, 170-c, Decatur, GA 30033-4004 | 2006-06-30 |
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 |
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.