Tara Johannesen
NPI 1770332520ActiveIndividual· Registered Nurse, Pediatrics· Chicago, IL
Registered Nurse, Pediatrics in Chicago, Illinois, licensed in IL, with an NPI issued in May 2024.
Overview
| NPI | 1770332520 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Sole proprietor | Yes |
| NPI issued | May 15, 2024 |
| Last updated in NPPES | May 15, 2024 |
| Certified by provider | May 14, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Registered Nurse, Pediatrics Primary | 163WP0200X | 041.453775 | IL |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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