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Deactivated NPI 1942745484 Deactivated / Inactive NPI Female Practitioner

Krista Tacderas , LPN

Licensed Practical Nurse • Christopher, IL

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Krista Tacderas has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date December 19, 2016
NPI Deactivation Date November 01, 2023
Total Practice Duration ~7 Years of Practice (2016 – 2023)

Professional Overview & Biography Verified Profile Summary

Krista Tacderas, LPN was a registered Licensed Practical Nurse practicing in Christopher, IL. Throughout an active medical career spanning 7 years, Krista Tacderas provided care at the practice location at 4241 HIGHWAY 14 W until profile deactivation on 2023-11-01.

Practice Location & Contact Primary Location

Practice Address

4241 Highway 14 W

Christopher, IL 628221037

Telephone 6187242401
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Licensed Practical Nurse in Christopher, IL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.2 Yrs
Regional Practice Density
53 Specialists

Practicing in Christopher, IL (906 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Licensed Practical Nurse Primary Specialty

NUCC Taxonomy Code: 164W00000X

State License IL 043123365

An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Faith Fann , RDH

Dental Hygienist

NPI 1003233909

Registered Dental Hygienist

Deborah Saylor Connell , APN

Nurse Practitioner - Psychiatric/Mental Health

NPI 1003247511

Advanced Practice Nurse

NPI 1003376294

PHARMACYTECHNICIAN

Wendy Vallette , LPN

Licensed Practical Nurse

NPI 1023478591

Licensed Practical Nurse

Alexia Hobbs

Nurse Practitioner - Family

NPI 1023958055
Christina Murphy , LPN

Licensed Practical Nurse

NPI 1053717868

Licensed Practical Nurse

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated November 01, 2023

Record deactivated on November 01, 2023

NPI Profile Active December 19, 2016

NPI status registered as active in NPPES database

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Updated Practice Location December 19, 2016

Registered at 4241 HIGHWAY 14 W, CHRISTOPHER, IL 628221037 (Tel: 6187242401)

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Updated Business Mailing Address December 19, 2016

Registered at 4241 HIGHWAY 14 W, CHRISTOPHER, IL 628221037 (Tel: 6187242401)

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Provider Name / Credentials Updated December 19, 2016

Recorded as KRISTA TACDERAS, LPN

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Medical Taxonomy / Specialty Registered (Primary Specialty) December 19, 2016

Licensed Practical Nurse (License #043123365 in IL)

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Initial NPI Registration & Enumeration December 19, 2016

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1942745484
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: December 19, 2016
Last Update: December 19, 2016
Deactivation Date: November 01, 2023

Mailing Address

4241 Highway 14 W

Christopher, IL 628221037

Phone: 6187242401

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.