MRS. DEANNA L. TACDERAS APN
NPI 1295017663
Nurse Practitioner - Family in Herrin, IL

Q: What is Deanna Tacderas's NPI number?

The NPI number for Deanna Tacderas is 1295017663. It was assigned to this individual provider in the NPPES registry on September 12, 2011.

Q: What is Deanna Tacderas's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: When was this NPI record last updated?

The NPPES record for Deanna Tacderas was last updated on February 25, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since September 12, 2011

317 S 14TH ST, HERRIN, IL 62948(618) 988-6171(618) 988-6172 Get Directions Write a Review

NPPES record last updated: February 25, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Mrs. Deanna L. Tacderas Apn NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MRS. DEANNA L. TACDERAS APN (NPI 1295017663) is an individual family provider in Herrin, Illinois, licensed in Illinois (209009037) and active in the NPI registry since September 2011.

NPPES Registry Identity

NPI1295017663

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameMRS. DEANNA L. TACDERASCredential: APN

Location Address317 S 14TH STHerrin, IL 62948-3671

Mailing AddressPo Box 1105Indianapolis, IN 46206-1105 · (618) 549-5361 · Fax (618) 529-0568

Phone(618) 988-6171

Fax(618) 988-6172

Sole ProprietorNo

Enumeration DateSeptember 12, 2011

Last NPPES UpdateFebruary 25, 2015

✔ NPI 1295017663 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in IL · 209009037

317 S 14TH ST, Herrin, IL 62948

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Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SOUTHERN ILLINOIS RESPIRATORY DISEASE CONSULTANTS, LLC

Internal Medicine (Pulmonary Disease)

317 S 14TH ST, SUITE 3
HERRIN, IL 62948

Williamson County (618) 942-7402

SOUTHERN ILLINOIS RHEUMATOLOGY, SC

Internal Medicine (Rheumatology)

317 S 14TH ST, SUITE 2
HERRIN, IL 62948

Williamson County (618) 529-2200

ANNE HARDY-HENRY

Surgery

317 S 14TH ST
HERRIN, IL 62948

Williamson County (618) 942-2002

CHELSEA H WEBB PA-C

Physician Assistant

317 S 14TH ST
HERRIN, IL 62948

Williamson County (618) 942-2002

AMY DODD APN

Nurse Practitioner

317 S 14TH ST
HERRIN, IL 62948

Williamson County (618) 942-2002

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Deanna Tacderas's NPI number?

The NPI number for Deanna Tacderas is 1295017663. It was assigned to this individual provider in the NPPES registry on September 12, 2011.

Where is Deanna Tacderas located?

Deanna Tacderas practices at 317 S 14th St, Herrin, IL 62948. The listed phone number is (618) 988-6171.

What is Deanna Tacderas's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Deanna Tacderas was last updated on February 25, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.