TAMARA CONNELLY (NPI# 1801967948) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801967948 |
| Entity Type | Individual |
| Full Name | TAMARA CONNELLY |
| Practice Address |
2525 Kaneville Rd Geneva IL 60134-2578 |
| Mailing Address |
40w515 Il Route 38 Elburn IL 60119-9107 |
| Practice Telephone | 6305841411 |
| Enumeration Date | 2006-11-12 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
IL | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912471103 | Tamara Connelly | Case Manager/Care Coordinator | 727 8th St Lowr Level, Baraboo, WI 53913-1794 | 2019-01-22 |
| 1790035012 | Tamara Lee Connelly | Nurse Practitioner | 98 Shaker Rd, East Longmeadow, MA 01028-2731 | 2012-09-13 |
| Street Address |
2525 KANEVILLE RD |
| City | GENEVA |
| State | IL |
| Zip Code | 60134-2578 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659373751 | Jeffrey A Jacoby | Orthopaedic Surgery | 2525 Kaneville Rd, Geneva, IL 60134-2578 | 2005-08-10 |
| 1982238135 | Rena Ranallo | Physician Assistant | 2525 Kaneville Rd, Geneva, IL 60134-2578 | 2020-02-26 |
| 1558854620 | Athletic & Therapeutic Institute of Bourbonnais LLC | Durable Medical Equipment & Medical Supplies | 2525 Kaneville Rd, Geneva, IL 60134-2578 | 2018-06-12 |
| 1316489842 | Cameron Weess | Physician Assistant | 2525 Kaneville Rd, Geneva, IL 60134-2578 | 2016-11-15 |
| 1386190429 | Shawn Roney | Physical Therapist | 2525 Kaneville Rd, Geneva, IL 60134-2578 | 2016-08-29 |
| 1407309453 | Jenny Flanigan | Physical Therapy Assistant | 2525 Kaneville Rd, Geneva, IL 60134-2578 | 2016-07-26 |
| 1730551771 | Joseph Reibel | Physician Assistant | 2525 Kaneville Rd, Geneva, IL 60134-2578 | 2015-10-29 |
| 1174994818 | Ellen M Hunka | Occupational Therapy Assistant | 2525 Kaneville Rd, Geneva, IL 60134-2578 | 2015-10-07 |
| 1154708030 | Fox Valley Orthopedic Associates Sc | Pharmacy Technician | 2525 Kaneville Rd, Geneva, IL 60134-2578 | 2015-04-30 |
| 1811332240 | Jessica Rae Shanahan | Physician Assistant | 2525 Kaneville Rd, Geneva, IL 60134-2578 | 2013-04-29 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902403918 | Glenda Creighton | Physical Therapist | 0n 801 Friendship Way, Geneva, IL 60134 | 2020-10-02 |
| 1467912212 | Cierra Monae French | Family Medicine | Northwestern Medicine Delnor Hospital, 300 Randall Road, Geneva, IL 60134 | 2019-03-20 |
| 1497246227 | Linda Huber | Psychologist | 1541 E Fabyan Pkwy Ste 101, Geneva, IL 60134 | 2018-05-29 |
| 1003305459 | Nicole Collins | Specialist/Technologist | 1125 Lewis Road, Geneva, IL 60134 | 2018-05-01 |
| 1013438704 | Emily Byars | Clinic/Center | 1111 Greenfield Circle, Geneva, IL 60134 | 2017-07-03 |
| 1982142980 | Samantha Courtney | Counselor | 1120 Randall Ct., Geneva, IL 60134 | 2017-02-09 |
| 1073055026 | Physical Rehabilitation Clinics | Physical Therapist | 507 S. 3rd St. Unit I, Geneva, IL 60134 | 2016-11-08 |
| 1265868707 | Gina Marie Gilchrist | Dietitian, Registered | 39w479 W Haladay Ln, Geneva, IL 60134 | 2013-09-16 |
| 1770823585 | William A. Goodfellow | General Practice | 1010 S. Batavia Ave., Geneva, IL 60134 | 2013-02-15 |
| 1467705392 | Kylie L Mack | Physician Assistant | 351 Delnor Dr #100, Geneva, IL 60134 | 2012-10-16 |
| Find all providers in zip 60134 | ||||
| Taxonomy Code | 2255A2300X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Specialist/Technologist |
| Specialization | Athletic Trainer |
| Athletic trainers are allied health care professionals who work in consultation with or under the direction of physicians, and specialize in the prevention, assessment, treatment and rehabilitation of injuries and illnesses. Currently, the entry-level employment requirements are a bachelor’s degree with a major in athletic training from an accredited university or college. A majority of athletic trainers hold advanced degrees. National board certification is generally required as a condition of state licensure and employment. Most states regulate athletic trainers, and they practice within the scope of that license or regulation. Clinical practice includes emergency care, rehabilitation, reconditioning, therapeutic exercise, wellness programs, exercise physiology, kinesiology, biomechanics, nutrition, psychology and health care administration. |
| Notes: Source: National Athletic Trainers’ Association (www.NATA.org) [1/1/2006: modified definition, modified source] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003305459 | Nicole Collins | Specialist/Technologist | 1125 Lewis Road, Geneva, IL 60134 | 2018-05-01 |
| 1528329604 | Nicholas J Cooke | Specialist/Technologist | 300 Pulteney St, Geneva, NY 14456-3304 | 2012-06-05 |
| 1376614834 | Todd E Sperber | Specialist/Technologist | 747 Richards St, Geneva, IL 60134-1264 | 2006-11-13 |
| 1487629903 | Kevin Michael Pennington | Specialist/Technologist | 296 Randall Rd, Geneva, IL 60134-4203 | 2006-02-19 |
| 1407213754 | Jaclyn Stucker | Specialist/Technologist | 300 Pulteney St, Bristol Gymnasium, Geneva, NY 14456-3304 | 2016-01-18 |
| 1295191724 | Caitlin Ketcham | Specialist/Technologist | 300 Pulteney St, Bristol Gym, Geneva, NY 14456-3304 | 2016-01-13 |
| 1083030258 | Melissa Lynn Wassink | Specialist/Technologist | 875 Pre Emption Rd, Geneva, NY 14456-2042 | 2014-03-12 |
| 1144283920 | Sandra Joy Origer | Specialist/Technologist | 2525 Kaneville Rd, Geneva, IL 60134-2578 | 2006-04-11 |
| 1356319925 | Jay Harold Sears | Specialist/Technologist | 2525 Kaneville Rd, Geneva, IL 60134-2578 | 2006-03-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538771076 | Stacey Weathers-cannon | Specialist/Technologist | 650 Ingraham Ave, Calumet City, IL 60409-4236 | 2020-08-17 |
| 1104438621 | Abril Malagon | Specialist/Technologist | 1 S Greenwood Ave, Palatine, IL 60074-6328 | 2020-08-17 |
| 1265050678 | Megan Elsbree | Specialist/Technologist | 11819 Deacon Dr, Rockton, IL 61072-9411 | 2020-07-13 |
| 1013534437 | Nicole Rose Mondelli | Specialist/Technologist | 958 Tallgrass Dr, Bartlett, IL 60103-5071 | 2020-07-01 |
| 1740806413 | Megan Herter | Specialist/Technologist | 1513 Old Ivy Dr, Springfield, IL 62711-8156 | 2020-06-18 |
| 1164047239 | Madison Stagman | Specialist/Technologist | 280 Douglas Ave Apt 4, Mascoutah, IL 62258-2963 | 2020-06-14 |
| 1588286272 | Sarah Wegrzyn | Specialist/Technologist | 3040 S Wabash Ave, Chicago, IL 60616-3474 | 2020-05-15 |
| 1336761386 | Christine Louise Shebelski | Specialist/Technologist | 15203 Pulaski Rd, Midlothian, IL 60445-3755 | 2020-05-13 |
| 1386266633 | Kathryn Riordan | Specialist/Technologist | 221 Triton Ln, Naperville, IL 60540-7926 | 2020-05-09 |
| 1487276747 | Vianey Hernandez-ramirez | Specialist/Technologist | 4115 Howard St, Skokie, IL 60076-3749 | 2020-05-09 |
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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.