TRACI LEIGH GOODELL (NPI# 1649543042) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1649543042 |
Entity Type | Individual |
Full Name | TRACI LEIGH GOODELL |
Credential | BSN, RN, CNOR, RNFA |
Practice Address |
1401 E State St Rockford IL 61104-2315 |
Mailing Address |
Po Box 1567 Rockford IL 61110-0067 |
Practice Telephone | 7796967150 |
Mailing Telephone | 7796967285 |
Enumeration Date | 2012-02-15 |
Last Update Date | 2012-02-15 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 163WR0006X |
Registered Nurse Specialization: Registered Nurse First Assistant |
041336983 | IL | Nursing Service Providers |
Street Address |
1401 E STATE ST |
City | ROCKFORD |
State | IL |
Zip Code | 61104-2315 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1003899196 | Thomas Danko | Pediatrics | 1401 E State St, Rockford, IL 61104-2315 | 2005-11-22 |
1184232621 | Sound Physicians Emergency Medicine of Illinois LLC | Emergency Medicine | 1401 E State St, Rockford, IL 61104-2315 | 2020-07-21 |
1235764556 | Alexandra Paganis | Nurse Practitioner | 1401 E State St, Rockford, IL 61104-2315 | 2020-03-06 |
1538790266 | Sherri L Paprocki | Emergency Medicine | 1401 E State St, Rockford, IL 61104-2315 | 2020-01-31 |
1417593310 | Jason C Hipe | Registered Nurse | 1401 E State St, Rockford, IL 61104-2315 | 2019-11-26 |
1487298642 | Matthew Montgomery | Physical Therapist | 1401 E State St, Rockford, IL 61104-2315 | 2019-10-31 |
1265076541 | Sarah Kemp | Occupational Therapist | 1401 E State St, Rockford, IL 61104-2315 | 2019-10-30 |
1891341939 | Swedishamerican Hospital | Pharmacy | 1401 E State St, Rockford, IL 61104-2315 | 2019-08-14 |
1306408885 | Jonathan Ray Nelson | Physical Therapy Assistant | 1401 E State St, Rockford, IL 61104-2315 | 2019-07-03 |
1124680608 | Kirsten Sympson | Occupational Therapy Assistant | 1401 E State St, Rockford, IL 61104-2315 | 2019-07-03 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1699216564 | Swedishamerican Hospital | Nutritionist | 1415 E. State St., Lower Level A3, Rockford, IL 61104 | 2017-03-13 |
1376950485 | Swedishamerican Hospital | Nurse Practitioner | 1340 Charles St Ste 200, Rockford, IL 61104 | 2014-07-21 |
1871907774 | Oday Alsarraf | Psychiatry & Neurology | 1401 E State Street, Center for Mental Health, Swedish American Hospital, Rockford, IL 61104 | 2014-06-18 |
1962652339 | Children's Home and Aid | Community/Behavioral Health | 424 7th St, Rockford, IL 61104 | 2008-09-23 |
1689729535 | Swedishamerican Hospital | Nurse Practitioner | 1340 Charles St Ste 100, Rockford, IL 61104 | 2007-01-23 |
1790873016 | David J Schleicher | Obstetrics & Gynecology | 209 9th St Ste 200, Rockford, IL 61104 | 2006-10-11 |
1013026624 | Thomas Ryan Moss | Dentist | 1415 E State Street, Rockford, IL 61104 | 2006-08-29 |
1366452096 | Arturo Santiago Manas | Obstetrics & Gynecology | 1415 E State St Fl 8, Rockford, IL 61104 | 2006-08-08 |
1245263268 | William John Stout | Physician Assistant | 1401 E State Street, Rockford, IL 61104 | 2006-07-10 |
1689604969 | Prabha Chand Dosi | Pediatrics | 1401 E. State Street, Rockford, IL 61104 | 2006-07-03 |
Find all providers in zip 61104 |
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 |
---|---|---|---|---|
1417593310 | Jason C Hipe | Registered Nurse | 1401 E State St, Rockford, IL 61104-2315 | 2019-11-26 |
1972749158 | Wayne E Branson | Registered Nurse | 1401 E State St, Rockford, IL 61104-2315 | 2008-12-18 |
1073523718 | Gerardo Sanchez | Registered Nurse | 6785 Weaver Rd, Ste D, Rockford, IL 61114-8055 | 2006-08-08 |
1497762009 | First Asst of Northern Il | Registered Nurse | 6785 Weaver Rd, Ste D, Rockford, IL 61114-8055 | 2006-08-03 |
1174530794 | Rockford Rn First Assistant, PC | Registered Nurse | 6785 Weaver Rd, Ste D, Rockford, IL 61114-8055 | 2006-08-03 |
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 |
1255612537 | Jeanine Marie Tackla | Registered Nurse | 924 Burnham Ct, Glenview, IL 60025-4140 | 2011-08-31 |
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 |
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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.