TRACI LEIGH GOODELL


Address: 1401 E State St, Rockford, IL 61104-2315
Phone: 7796967150

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 163WR0006X Registered Nurse
Specialization: Registered Nurse First Assistant
041336983 IL Nursing Service Providers

Office Location

Street Address 1401 E STATE ST
City ROCKFORD
State IL
Zip Code 61104-2315

Providers in the same location

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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Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 163WR0006X
Grouping Nursing Service Providers
Classification Registered Nurse
Specialization Registered Nurse First Assistant

Taxonomy Definition

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]

Providers in the same taxonomy and city

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

Providers in the same taxonomy and state

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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Competitor

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City ROCKFORD
Zip Code 61104

Improve Information

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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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