Joanna E Tedford

Primary specialty

Home Health Registered NurseTaxonomy code 163WH0200X

License

041429726 Issued in IL

Practice address

4174 Starlight Ave
Decatur, IL 62526-1290

Phone

(217) 521-5240

NPI assigned

Jan 28, 2019

Last updated

Jan 28, 2019By 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

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Joanna Tedford

  dba Angels Homecare Agency

  • Home Health Agency
  • Decatur, IL
  • NPI 1710628656
  NPD Authorized official

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

{
    "created_epoch": "1548633600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1548633600000",
    "number": "1326502998",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4174 STARLIGHT AVE",
            "city": "DECATUR",
            "state": "IL",
            "postal_code": "625261290",
            "telephone_number": "217-521-5240"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4174 STARLIGHT AVE",
            "city": "DECATUR",
            "state": "IL",
            "postal_code": "625261290",
            "telephone_number": "217-521-5240"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TEDFORD",
        "first_name": "JOANNA",
        "middle_name": "E",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-01-28",
        "last_updated": "2019-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WH0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Home Health",
            "state": "IL",
            "license": "041429726",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rajanese Tate
• Brian Keith Tatro, R.PH.
• Amia Taylor, RBT
• Aniyiah Taylor
• Keli K Taylor, RN
• Ruth Elizabeth Teel, LCPC
• Johnny C Tenegra, M.D.
• Nicole Gabriel Tenegra, MD
• William Smythe Tener, D.D.S.,M.S.
• Meridith Teodoro, RBT

• Home Health Registered Nurse in Decatur, IL
• Providers in Decatur, 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 Jan 28, 2019; 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.