MR. RYAN JAMES TACCONA (NPI# 1922606201) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922606201 |
| Entity Type | Individual |
| Full Name | MR. RYAN JAMES TACCONA |
| Credential | MSN, APRN, FNP-C |
| Practice Address |
2127 Midlands Ct Unit 203 Sycamore IL 60178-3173 |
| Practice Telephone | 8157588106 |
| Mailing Telephone | 8157588106 |
| Mailing Fax Number | 8157588108 |
| Enumeration Date | 2020-10-09 |
| Last Update Date | 2020-10-09 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
209021718 | IL | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
2127 MIDLANDS CT UNIT 203 |
| City | SYCAMORE |
| State | IL |
| Zip Code | 60178-3173 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184096646 | Whitney Morgan Hawkins | Audiologist | 2127 Midlands Ct Unit 203, Sycamore, IL 60178-3173 | 2015-10-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578113387 | Susanne Dewey | Technician | 2158 W. Vance St., Sycamore, IL 60178 | 2019-09-13 |
| 1730745332 | Nan Chinratana Phillips | Registered Nurse | 427 Spartan Trail Shs Nurse Office, Sycamore, IL 60178 | 2019-05-20 |
| 1427517846 | Association for Individual Development | Clinic/Center | 180 E. Exchange St., #202a, Sycamore, IL 60178 | 2019-03-15 |
| 1528508884 | Mary Elizabeth Kelley | Counselor | 920 S Prairie Dr., F, Sycamore, IL 60178 | 2017-03-06 |
| 1366824005 | Dekalb Hearing Services, LLC | Audiologist | 1630 Gateway Drive, Sycamore, IL 60178 | 2015-06-18 |
| 1629458625 | Friedrichs Eye Ltd. | Ophthalmology | 2670 Dekalb Avenue, Sycamore, IL 60178 | 2015-06-04 |
| 1275912057 | Sara Haug | Counselor | 324 E. Exchange St, Sycamore, IL 60178 | 2015-05-26 |
| 1144607862 | Dekalb Surgical Services, LLC | Clinic/Center | 2515 Klein Road, Sycamore, IL 60178 | 2015-05-01 |
| 1720476963 | Jennifer Calderala | Registered Nurse | 165 E. Plank Road, Sycamore, IL 60178 | 2014-12-22 |
| 1114262656 | Teresa Kay Farris | Nurse Practitioner | 1850 Gateway Drive, Sycamore, IL 60178 | 2012-12-11 |
| Find all providers in zip 60178 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720644297 | Lauren Ashley Matchett | Nurse Practitioner | 2550 Hauser Ross Dr Ste 350, Sycamore, IL 60178-3181 | 2019-05-10 |
| 1952891863 | Chelsea J Sword | Nurse Practitioner | 2540 Hauser Ross Dr Ste 275, Sycamore, IL 60178-3178 | 2018-05-16 |
| 1366932139 | Megan Jean Martin | Nurse Practitioner | 2560 Hauser Ross Dr Ste 450, Sycamore, IL 60178-3185 | 2018-05-16 |
| 1073836383 | Sycamore Health Care, LLC | Nurse Practitioner | 7205 Buford's Bridge Hwy., Sycamore, SC 29846 | 2010-03-02 |
| 1407496268 | Kristen Valerie Rogers | Nurse Practitioner | 2540 Hauser Ross Dr Ste 275, Sycamore, IL 60178-3178 | 2020-01-09 |
| 1568016335 | Andi Marie Rivers | Nurse Practitioner | 1850 Gateway Dr, Sycamore, IL 60178-3192 | 2019-07-30 |
| 1699234195 | Heather A Marvin | Nurse Practitioner | 954 W State St, Sycamore, IL 60178-1335 | 2019-03-14 |
| 1417453960 | Lynda M Flowers | Nurse Practitioner | 920 W Prairie Dr, Sycamore, IL 60178-3123 | 2018-04-03 |
| 1487197588 | Teah Brandt | Nurse Practitioner | 954 W State St, Sycamore, IL 60178-1335 | 2016-11-22 |
| 1629439815 | Julie Caley | Nurse Practitioner | 2560 Hauser Ross Dr, Sycamore, IL 60178-3150 | 2016-03-15 |
| Find all providers in SYCAMORE | ||||
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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.