Teshann Coakley, RN-BSN

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

041.388901 Issued in IL

Practice address

2209 Elizabeth Dr
Broadview, IL 60155-4609

Phone

(708) 526-4929

NPI assigned

Nov 14, 2022

Last updated

Nov 14, 2022By 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.

• Supportive Services Agency, LLC

  • Case Management Agency
  • Chicago, IL
  • NPI 1801727458
  NPD Authorized official

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

{
    "created_epoch": "1668384000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1668384000000",
    "number": "1902514433",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2209 ELIZABETH DR",
            "city": "BROADVIEW",
            "state": "IL",
            "postal_code": "601554609",
            "telephone_number": "708-526-4929"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2209 ELIZABETH DR",
            "city": "BROADVIEW",
            "state": "IL",
            "postal_code": "601554609",
            "telephone_number": "708-526-4929"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COAKLEY",
        "first_name": "TESHANN",
        "credential": "RN-BSN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-11-14",
        "last_updated": "2022-11-14",
        "certification_date": "2022-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "IL",
            "license": "041.388901",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tiffany R Budzinski, APN
• Tomeka Chantel Burns, CNA
• Myra Alicia Celestin, REGISTERED NURSE
• Center for Molecular Cancer Diagnostics, Inc (CoreBioLabs)
• Monica Choi, PHARMD
• Crown Medicare Inc.
• Cynthia Winston Chiropractic PC (Dr. Cynthia Winston)
• Letitia Davis, DT
• Selena De la Riva, TECHNICIAN
• Unnati S. Dixit, O.D.

• Registered Nurse in Broadview, IL
• Providers in Broadview, IL by specialty
• Registered Nurse in Illinois

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

Verify at the official NPI Registry.