Debra Wells, CNA

Primary specialty

Nurse's AideTaxonomy code 376K00000X

Practice address

106 E Houghton St
Tuscola, IL 61953-1610

Phone

(217) 493-1678

NPI assigned

Apr 20, 2017

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

Other names 1

• Debra McConnell Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1492646400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1492646400000",
    "number": "1770017352",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "106 E HOUGHTON",
            "city": "TUSCOLA",
            "state": "IL",
            "postal_code": "61953",
            "telephone_number": "217-493-1678"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "106 E HOUGHTON ST",
            "city": "TUSCOLA",
            "state": "IL",
            "postal_code": "619531610",
            "telephone_number": "217-493-1678"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WELLS",
        "first_name": "DEBRA",
        "credential": "CNA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-04-20",
        "last_updated": "2017-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "376K00000X",
            "taxonomy_group": "",
            "desc": "Nurse's Aide",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DEBRA",
            "last_name": "MCCONNELL",
            "credential": "CNA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Tuscola Hco, LLC
• Tuscola Hco, LLC
• Tuscola Pain & Wellness Center SC
• Brooke Michaela Vonlanken, PHARMD
• WC- Tuscola Ops, LLC
• Kimberly B Whitaker, M.D.

• All providers in Tuscola, IL
• Nurse's Aide in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2017; 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.