ANDREW TATUM (NPI# 1447875083) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1447875083 |
Entity Type | Individual |
Full Name | ANDREW TATUM |
Practice Address |
4301 S Pine St Ste 112 Tacoma WA 98409-7204 |
Mailing Address |
Po Box 111297 Tacoma WA 98411-1297 |
Practice Telephone | 2534710890 |
Practice Fax Number | 2532840316 |
Mailing Telephone | 2534710890 |
Mailing Fax Number | 2532840316 |
Enumeration Date | 2020-06-09 |
Last Update Date | 2020-06-09 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 246YR1600X |
Spec/Tech, Health Info Specialization: Registered Record Administrator |
Technologists, Technicians & Other Technical Service Providers | ||
N | 171M00000X | Case Manager/Care Coordinator | Other Service Providers |
Street Address |
4301 S PINE ST STE 112 |
City | TACOMA |
State | WA |
Zip Code | 98409-7204 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1477177475 | Janielle Winter | Spec/Tech, Health Info | 4301 S Pine St Ste 112, Tacoma, WA 98409-7204 | 2020-06-04 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1053942805 | Terah Jo Barker | Behavior Technician | 4301 South Pine St., Suite 505, Tacoma, WA 98409 | 2020-01-30 |
1427526797 | Carrissa Bentley | Social Worker | 3901 S. Fife Street, Tacoma, WA 98409 | 2018-11-05 |
1396255972 | Julie Ann Sunada | Nurse Practitioner | 2505 S 38th St Ste 109, Tacoma, WA 98409 | 2017-10-09 |
1306389820 | Laura Town | Chiropractor | 3640 S Cedar St, Ste P, Tacoma, WA 98409 | 2016-12-01 |
1114476082 | Chelsea Marie Jensen | Massage Therapist | 701 Commerce Street Apartment 307, Tacoma, WA 98409 | 2016-10-03 |
1831574730 | Artika Naidu | Optometrist | 4502 South Steele #700, Located Inside Macy's Lenscrafters, Tacoma, WA 98409 | 2015-07-22 |
1972918399 | Tacoma Dental and Implant Center Ps | Clinic/Center | 4704 South Oakes St #103, Tacoma, WA 98409 | 2014-06-24 |
1457795957 | Ana Amparo Penas Vasquez | Clinical Nurse Specialist | 2505 South 38th St, Bldg A Suite 109, Tacoma, WA 98409 | 2013-04-26 |
1033452156 | Richard William Solitaire | Counselor | 4301 S. Pine St., 30-19, Tacoma, WA 98409 | 2013-03-27 |
1790042810 | Tara Kerin Garland | Counselor | 5921 S. Verde St., Tacoma, WA 98409 | 2012-04-13 |
Find all providers in zip 98409 |
Taxonomy Code | 246YR1600X |
Grouping | Technologists, Technicians & Other Technical Service Providers |
Classification | Spec/Tech, Health Info |
Specialization | Registered Record Administrator |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1417465758 | Alice Taylor | Spec/Tech, Health Info | 3453 Spruce Ave Apt A, Bremerton, WA 98310-6726 | 2018-01-22 |
1124424304 | Sonna Rooks | Spec/Tech, Health Info | 7311 61st Ave Nw, Gig Harbor, WA 98335-7437 | 2014-11-14 |
1326502253 | Jana L Jeffs | Spec/Tech, Health Info | 1133 Railroad Ave Ste 100, Bellingham, WA 98225-5054 | 2019-01-24 |
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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.