Active NPI
Tanara Rodgers-McDonald, D.C
- Chiropractor
- Effingham, IL
National Provider Identifier
1134464886
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 038.012317
- Practice address
- 1010 W Jefferson Ave
Effingham, IL 62401-2035 - Phone
- (217) 347-5455
- NPI assigned
- Dec 6, 2012
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 038.012317 | IL | Primary |
Addresses
Primary practice location
1010 W Jefferson Ave
Effingham, IL 62401-2035
Mailing address
1112 N Martin St
Effingham, IL 62401-1711
Phone (217) 663-2573
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 038.012317 | IL | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1354752000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1354752000000",
"number": "1134464886",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1112 N MARTIN ST",
"city": "EFFINGHAM",
"state": "IL",
"postal_code": "624011711",
"telephone_number": "217-663-2573"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1010 W JEFFERSON AVE",
"city": "EFFINGHAM",
"state": "IL",
"postal_code": "624012035",
"telephone_number": "217-347-5455"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RODGERS-MCDONALD",
"first_name": "TANARA",
"name_prefix": "Dr.",
"credential": "D.C",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-12-06",
"last_updated": "2012-12-06",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "IL",
"license": "038.012317",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Effingham, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.