Active NPI
Tanjaniacka Reed
- Registered Nurse
- Joliet, IL
National Provider Identifier
1164173704
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- 041436945
- Practice address
- 1023 Cassie Dr
Joliet, IL 60435-2939 - Phone
- (815) 274-4548
- NPI assigned
- Jan 14, 2022
- Last updated
- Jan 14, 2022
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 041436945 | IL | Primary |
Addresses
Primary practice location
1023 Cassie Dr
Joliet, IL 60435-2939
Mailing address
1023 Cassie Dr
Joliet, IL 60435-2939
Phone (815) 274-4548
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 041436945 | IL | MD | Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1642118400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1642118400000",
"number": "1164173704",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1023 CASSIE DR",
"city": "JOLIET",
"state": "IL",
"postal_code": "604352939",
"telephone_number": "815-274-4548"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1023 CASSIE DR",
"city": "JOLIET",
"state": "IL",
"postal_code": "604352939",
"telephone_number": "815-274-4548"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REED",
"first_name": "TANJANIACKA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-01-14",
"last_updated": "2022-01-14",
"certification_date": "2022-01-14",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "IL",
"license": "041436945",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Joliet, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.