NICOLETA M TATUM (NPI# 1447675988) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1447675988 |
Entity Type | Individual |
Full Name | NICOLETA M TATUM |
Credential | ARNP |
Practice Address |
140 N Richard Jackson Blvd Panama City Beach FL 32407 |
Mailing Address |
140 N Richard Jackson Blvd Panama City Beach FL 32407-2562 |
Practice Telephone | 8506367000 |
Practice Fax Number | 8506367072 |
Mailing Telephone | 8506367000 |
Mailing Fax Number | 8506367072 |
Enumeration Date | 2014-02-20 |
Last Update Date | 2018-07-20 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
ARNP9293091 | FL | Physician Assistants & Advanced Practice Nursing Providers |
Address | Telephone Number | Fax Number |
---|---|---|
100 N Main St, Chattahoochee, FL 323241107 | 8506637807 |
Street Address |
140 N RICHARD JACKSON BLVD |
City | PANAMA CITY BEACH |
State | FL |
Zip Code | 32407 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1235637497 | Beach Midway Med Express | Internal Medicine | 11038 Hutchison Blvd, Panama City, FL 32407 | 2018-01-23 |
1225497365 | Shae Nicole Luster | Counselor | 415 N Richard Jackson Blvd Ste 204, Panama City Beach, FL 32407 | 2016-02-17 |
1528482361 | Best Care Home Health of Panama City LLC | Home Health | 12216 Panama City Parkway Unit B, Panama City Beach, FL 32407 | 2014-02-14 |
1134463482 | Panhandle Orthopaedics LLC | Pediatrics | 12909 Panama City Beach Pkwy, Panama City Beach, FL 32407 | 2012-11-26 |
1215296983 | Jennifer Lynn Holloran | Speech-Language Pathologist | 8317 Front Beach Road Suite 34c, Panama City Beach, FL 32407 | 2012-05-15 |
1295043248 | Candida Jill Pratt | Massage Therapist | 10200 Clarence St., Suite B, Panama City Beach, FL 32407 | 2010-09-23 |
1326275843 | Richard Lee Giffin | Registered Nurse | 1625 Vecuna Cir, Panama City Beach, FL 32407 | 2009-06-11 |
1649455726 | Holiday Cvs LLC | Durable Medical Equipment & Medical Supplies | 11801 Panama City Beach Pkwy., Panama City Beach, FL 32407 | 2008-01-08 |
1891915740 | Cambridge Carruth | Physical Therapist | 120 R Jackson Bvld., Ste. 130, Panama City Beach, FL 32407 | 2007-04-25 |
1497885180 | Guy Alvin Crawford | Physician Assistant | 11111 Highway 98 East, Panama City Beach, FL 32407 | 2007-03-06 |
Find all providers in zip 32407 |
Taxonomy Code | 363LP0808X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Psych/Mental Health |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1538174396 | Christine C Bethea | Nurse Practitioner | 4408 Delwood Ln, Panama City Beach, FL 32408-7492 | 2006-07-30 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1295336832 | Marco Desouza | Nurse Practitioner | 10235 Avelar Ridge Dr, Riverview, FL 33578-7560 | 2020-11-02 |
1457950107 | Janet Rosemarie Walker | Nurse Practitioner | 9988 Sw 38th Ave, Ocala, FL 34476-4082 | 2020-10-23 |
1104425800 | Vijayalakshmi Kumaraguru | Nurse Practitioner | 102 Park Place Blvd Ste D1, Kissimmee, FL 34741-2358 | 2020-10-22 |
1356940217 | Smitha Ajesh | Nurse Practitioner | 9833 Westview Dr Apt 829, Coral Springs, FL 33076-2537 | 2020-10-21 |
1457959066 | Kecia Hicks | Nurse Practitioner | 691 Institution Rd, Defuniak Springs, FL 32433-1850 | 2020-10-15 |
1699372003 | Rosie Michel | Nurse Practitioner | 13000 Ne 12th Ave, North Miami, FL 33161-4305 | 2020-10-08 |
1952908352 | Karen Weinstock | Nurse Practitioner | 7148 Sportsmans Dr, North Lauderdale, FL 33068-5456 | 2020-10-08 |
1396342754 | Pamela Ziel | Nurse Practitioner | 545 Lakeside Cir, Sunrise, FL 33326-2136 | 2020-10-07 |
1922615608 | Urszula Dorfman | Nurse Practitioner | 1 Las Olas Cir Apt 609, Fort Lauderdale, FL 33316-1634 | 2020-09-28 |
1073129136 | Karen Harris | Nurse Practitioner | 28211 Church Rd, Brooksville, FL 34602-6232 | 2020-09-23 |
Find all providers with the same taxonomy |
City | PANAMA CITY BEACH |
Zip Code | 32407 |
Please comment or provide details below to improve the information on NICOLETA M TATUM.
Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.