Tandy Johnson

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

038.011908 Issued in IL

Practice address

8843 Elevator Rd
Roscoe, IL 61073-7829

Phone

(815) 520-3973

NPI assigned

May 11, 2016

Last updated

May 11, 2016By the provider in NPPES

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

Enrolled in VI

Enrollment records 1

Specialty

Chiropractic

Education

Palmer College Chiropractic - Davenport, 2005

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Paradise Chiropractic and Wellness Center of STXGroup PAC ID 7113290842, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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

• Paradise Chiropractic and Wellness Center of STX

  • Chiropractor
  • St Thomas, VI
  • NPI 1174060982
  Medicare reassignment Care Compare group NPD
• Progressive Wellness and Rehabilitation SC

  • Pain Medicine (Physical Medicine & Rehabilitation) Physician
  • Aurora, IL
  • NPI 1194172148

  Chiropractor

  NPD (past)
• Buchar Wellness Center of the VI LLC

  • Chiropractor
  • St Thomas, VI
  • NPI 1952857187
  NPD (past)

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

{
    "created_epoch": "1462924800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1462924800000",
    "number": "1316393002",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8843 ELEVATOR RD",
            "city": "ROSCOE",
            "state": "IL",
            "postal_code": "610737829"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8843 ELEVATOR RD",
            "city": "ROSCOE",
            "state": "IL",
            "postal_code": "610737829",
            "telephone_number": "815-520-3973"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "TANDY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-05-11",
        "last_updated": "2016-05-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038.011908",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nicole Huffington
• Dori Hunter, RBT-17-44740
• Laura L.C. Isely, PT
• Binn M Jatta, M.D.
• Gina C. Jay, PT
• Theresa Beth Johnson, L.AC.
• Cassidy Joy-Saini, PHARMD
• Eddy Kalongo
• Jenna Kaneiss
• Roger Kapoor, MD

• Chiropractor in Roscoe, IL
• Providers in Roscoe, IL by specialty
• Chiropractor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.