KRISTA TACDERAS (NPI# 1942745484) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1942745484 |
| Entity Type | Individual |
| Full Name | KRISTA TACDERAS |
| Credential | LPN |
| Practice Address |
4241 Highway 14 W Christopher IL 62822-1037 |
| Practice Telephone | 6187242401 |
| Mailing Telephone | 6187242401 |
| Enumeration Date | 2016-12-19 |
| Last Update Date | 2016-12-19 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 164W00000X | Licensed Practical Nurse | 043123365 | IL | Nursing Service Providers |
| Street Address |
4241 HIGHWAY 14 W |
| City | CHRISTOPHER |
| State | IL |
| Zip Code | 62822-1037 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164836680 | Sherry Collier | Pharmacist | 4241 Highway 14 W, Christopher, IL 62822-1037 | 2014-06-12 |
| 1174139372 | Melanie Hooker | Pharmacy Technician | 4241 Highway 14 W, Christopher, IL 62822-1037 | 2020-09-22 |
| 1487265443 | Amanda Shute | Licensed Practical Nurse | 4241 Highway 14 W, Christopher, IL 62822-1037 | 2020-08-13 |
| 1053936807 | Jordan Wargel | Nurse Practitioner | 4241 Highway 14 W, Christopher, IL 62822-1037 | 2020-06-08 |
| 1689223182 | Ashley Ward | Licensed Practical Nurse | 4241 Highway 14 W, Christopher, IL 62822-1037 | 2019-09-06 |
| 1245892371 | Olivia B Montgomery | Pharmacy Technician | 4241 Highway 14 W, Christopher, IL 62822-1037 | 2019-06-28 |
| 1598325334 | Whitney Phillips | Pharmacy Technician | 4241 Highway 14 W, Christopher, IL 62822-1037 | 2019-06-14 |
| 1548824808 | Jennifer Eason Linson | Registered Nurse | 4241 Highway 14 W, Christopher, IL 62822-1037 | 2019-04-23 |
| 1003376294 | Jenette Webb | Pharmacy Technician | 4241 Highway 14 W, Christopher, IL 62822-1037 | 2019-03-22 |
| 1568936482 | Dawn N Wilderman | Licensed Practical Nurse | 4241 Highway 14 W, Christopher, IL 62822-1037 | 2019-01-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982253928 | Ability Home Health and Rehab LLC | Home Health | 4343 Il-14, Christopher, IL 62822 | 2019-09-11 |
| 1184954240 | Arthur Lee Basso | Dentist | 212 W. Ernestine Ave., Christopher, IL 62822 | 2010-01-12 |
| 1003045360 | Mickie Lynne Dollins | Licensed Practical Nurse | 4241 Hwy 14, Christopher, IL 62822 | 2009-07-08 |
| 1174715650 | Ultimate Therapeutic Solutions, LLC | Clinic/Center | 4343 State Highway 14, Christopher, IL 62822 | 2007-08-17 |
| 1134325558 | Alicia Faye Eubanks | Pharmacy Technician | 4241 State Highway 14 West, Rea Clinic Pharmacy, Christopher, IL 62822 | 2007-06-22 |
| 1437370400 | Christopher Greater Area Rural Health Planning Corporation | Nurse Practitioner | 4241 State Hwy 14 W, Christopher Rural Health Planning Corporation, Christopher, IL 62822 | 2007-05-01 |
| 1194877233 | Lana Malkovich | Pharmacy Technician | Rea Clinic Pharmacy, 4241 Highway 14 West, Christopher, IL 62822 | 2007-01-17 |
| 1780749812 | Kirks Pharmacy | Pharmacy | 114 West Market Street, Christopher, IL 62822 | 2006-12-27 |
| 1841359924 | James Kirkpatrick | Pharmacist | 114 West Market St, Christopher, IL 62822 | 2006-12-06 |
| 1336240571 | Shari Renee Jones | Registered Nurse | Rea Clinic, 4241 Highway 14 West, Christopher, IL 62822 | 2006-09-26 |
| Find all providers in zip 62822 | ||||
| Taxonomy Code | 164W00000X |
| Grouping | Nursing Service Providers |
| Classification | Licensed Practical Nurse |
| An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states. |
| Notes: Source: Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003045360 | Mickie Lynne Dollins | Licensed Practical Nurse | 4241 Hwy 14, Christopher, IL 62822 | 2009-07-08 |
| 1487265443 | Amanda Shute | Licensed Practical Nurse | 4241 Highway 14 W, Christopher, IL 62822-1037 | 2020-08-13 |
| 1689223182 | Ashley Ward | Licensed Practical Nurse | 4241 Highway 14 W, Christopher, IL 62822-1037 | 2019-09-06 |
| 1568936482 | Dawn N Wilderman | Licensed Practical Nurse | 4241 Highway 14 W, Christopher, IL 62822-1037 | 2019-01-14 |
| 1831677095 | Alison M Clarke | Licensed Practical Nurse | 4241 Highway 14 W, Christopher, IL 62822-1037 | 2018-07-31 |
| 1679051940 | Michele Leigh Dorris | Licensed Practical Nurse | 4241 Highway 14 W, Christopher, IL 62822-1037 | 2018-07-30 |
| 1851814305 | Amanda Gant | Licensed Practical Nurse | 4241 Highway 14 W, Christopher, IL 62822-1037 | 2017-07-17 |
| 1841737905 | Christy Amey | Licensed Practical Nurse | 4241 Highway 14 W, Christopher, IL 62822-1037 | 2017-01-27 |
| 1255876702 | Brandy Norris | Licensed Practical Nurse | 4241 Highway 14 W, Christopher, IL 62822-1037 | 2016-12-19 |
| 1841732161 | Sarah Wall | Licensed Practical Nurse | 4241 Highway 14 W, Christopher, IL 62822-1037 | 2016-11-17 |
| Find all providers in CHRISTOPHER | ||||
| City | CHRISTOPHER |
| Zip Code | 62822 |
Please comment or provide details below to improve the information on KRISTA TACDERAS.
| 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.