Shela Tan-Urdaneta

Primary specialty

Home Health Registered NurseTaxonomy code 163WH0200X

License

041363370 Issued in IL

Practice address

1177 Pine Tree CT
Lake Villa, IL 60046-8648

Phone

(773) 997-4917

Fax

(773) 901-3075

NPI assigned

May 20, 2026

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Above & Beyond Care Solutions, LTD.

  • In Home Supportive Care Agency
  • Inverness, IL
  • NPI 1194656520
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1779235200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779235200000",
    "number": "1306776539",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1177 PINE TREE CT",
            "city": "LAKE VILLA",
            "state": "IL",
            "postal_code": "600468648",
            "telephone_number": "773-997-4917",
            "fax_number": "773-901-3075"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1177 PINE TREE CT",
            "city": "LAKE VILLA",
            "state": "IL",
            "postal_code": "600468648",
            "telephone_number": "773-997-4917",
            "fax_number": "773-901-3075"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAN-URDANETA",
        "first_name": "SHELA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2026-05-20",
        "last_updated": "2026-05-20",
        "certification_date": "2026-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WH0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Home Health",
            "state": "IL",
            "license": "041363370",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mia L Standerski, ATC
• William Eugene Swarner, LMT
• James William Swenson, D.D.S.
• Eevon Swilley, LSW
• Patricia Ann Taglione, PSY. D.
• Junne Tarnorutskiy, LSW
• Francesca Taylor
• Bruce Carl Teipel, DDS
• Michael Paul Teluk, DDS
• Lindsey Noelle Terning, NP

• Home Health Registered Nurse in Lake Villa, IL
• Providers in Lake Villa, IL by specialty
• Home Health Registered Nurse in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.