MRS. SHELLANE MARIE TANGEN (NPI# 1841713450) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1841713450 |
Entity Type | Individual |
Full Name | MRS. SHELLANE MARIE TANGEN |
Credential | BSN, MSN, FNP-BC |
Practice Address |
819 Bloomington Rd Champaign IL 61820-2101 |
Mailing Address |
2183 Wagon Trail Rd White Heath IL 61884-9313 |
Practice Telephone | 2173561558 |
Mailing Telephone | 2176216874 |
Enumeration Date | 2017-07-25 |
Last Update Date | 2017-07-25 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363L00000X | Nurse Practitioner | 209015253 | IL | Physician Assistants & Advanced Practice Nursing Providers |
Street Address |
819 BLOOMINGTON RD |
City | CHAMPAIGN |
State | IL |
Zip Code | 61820-2101 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1992770192 | Community Health Improvement Center | Clinic/Center | 819 Bloomington Rd, Champaign, IL 61820-2101 | 2006-02-21 |
1376166264 | Carlos Rodolfo Bocanegra Cordova | Physician Assistant | 819 Bloomington Rd, Champaign, IL 61820-2101 | 2020-05-26 |
1992324941 | Ryan Jordan Minier | Physician Assistant | 819 Bloomington Rd, Champaign, IL 61820-2101 | 2020-04-10 |
1972136620 | Doug C Smith | Social Worker | 819 Bloomington Rd, Champaign, IL 61820-2101 | 2020-02-20 |
1316592637 | Carrie Elizabeth Keenan | Physician Assistant | 819 Bloomington Rd, Champaign, IL 61820-2101 | 2019-08-04 |
1093283954 | River Andres | Physician Assistant | 819 Bloomington Rd, Champaign, IL 61820-2101 | 2018-11-08 |
1992290449 | Kaitlyn Cornell | Social Worker | 819 Bloomington Rd, Champaign, IL 61820 | 2018-06-27 |
1255833695 | Marisol Chirinos Tito | Physician Assistant | 819 Bloomington Rd, Champaign, IL 61820-2101 | 2018-03-01 |
1215387501 | John S Anderson | Dentist | 819 Bloomington Rd, Champaign, IL 61820-2101 | 2016-06-16 |
1790176402 | Todd Richard Johnson | Nurse Practitioner | 819 Bloomington Rd, Champaign, IL 61820-2101 | 2015-02-17 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1982217345 | Costco Wholesale Corporation | Pharmacy | 2002 N. Neil St., Champaign, IL 61820 | 2020-08-26 |
1255963583 | Jamey Richard Bailey | Social Worker | 701 Devonshire Drive, Bldg C, Suite 206, C-6, Champaign, IL 61820 | 2020-02-05 |
1790247443 | Jason Abrams | Counselor | 201 W Springfield Ave., Suite 1002-1003, Champaign, IL 61820 | 2019-04-02 |
1184100273 | Janine Rafferty | Pharmacist | 2002 N Neil St, Champaign, IL 61820 | 2018-07-12 |
1417475070 | Brodbeck Counseling, PC | Community/Behavioral Health | 301 N. Neil Street Suite 323, Champaign, IL 61820 | 2017-09-05 |
1447773726 | Quanata M Pelmore | Nurse's Aide | 508 E. Vine St, Champaign, IL 61820 | 2017-07-19 |
1821518127 | Molly Mclay | Social Worker | 309 W Clark St., Champaign, IL 61820 | 2017-06-27 |
1396265849 | Lou Echols Chambers | Audiologist | 901 South Sixth Street, Chamapign, IL 61820 | 2017-06-26 |
1962874495 | Luciana Angelica Guardini | Social Worker | 100 North Chestnut Street, Suite 244, Champaign, IL 61820 | 2015-10-23 |
1538544465 | Cpo Services, Inc. | Prosthetic/Orthotic Supplier | 410 E University Ave Ste 105, Champaign, IL 61820 | 2015-07-21 |
Find all providers in zip 61820 |
Taxonomy Code | 363L00000X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1497312672 | Haleigh D Wadsworth | Nurse Practitioner | 2718 N Prospect Ave, Champaign, IL 61822-1298 | 2019-05-23 |
1528621265 | Tara Kutz | Nurse Practitioner | 2710 N Prospect Ave, Champaign, IL 61822-1298 | 2019-04-18 |
1457891806 | Bobby Hill Jr. | Nurse Practitioner | 606 N Country Fair Dr Ste A, Champaign, IL 61821-2485 | 2017-03-05 |
1982143582 | Ijeoma Anukwu | Nurse Practitioner | 5003 Chestnut Grove Dr, Champaign, IL 61822-3323 | 2017-02-15 |
1144237389 | Theresa E. Hardy | Nurse Practitioner | 1112 W Daniel St, Champaign, IL 61821-4516 | 2006-08-01 |
1508464637 | Tricia Hogg | Nurse Practitioner | 1701 Curtis Rd, Champaign, IL 61822-9678 | 2020-10-12 |
1114563640 | Mary K Kiesewetter | Nurse Practitioner | 1802 S Mattis Ave, Champaign, IL 61821-5923 | 2019-11-19 |
1023653342 | Maddison P. Draper | Nurse Practitioner | 2718 N Prospect Ave, Champaign, IL 61822-1298 | 2019-11-11 |
1932740305 | Janice Frerichs | Nurse Practitioner | 1701 W. Curtis, Champaign, IL 61822 | 2019-10-07 |
1255895108 | Brittany N Anderson | Nurse Practitioner | 2043 S Neil St, Champaign, IL 61820-7219 | 2019-01-24 |
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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.