MRS. SHELLANE MARIE TANGEN


Address: 819 Bloomington Rd, Champaign, IL 61820-2101
Phone: 2173561558

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363L00000X Nurse Practitioner 209015253 IL Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 819 BLOOMINGTON RD
City CHAMPAIGN
State IL
Zip Code 61820-2101

Providers in the same location

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
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Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 363L00000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner

Taxonomy Definition

(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.

Providers in the same taxonomy and city

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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Competitor

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City CHAMPAIGN
Zip Code 61820

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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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