MARY MILLER TATUM (NPI# 1700107448) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700107448 |
| Entity Type | Individual |
| Full Name | MARY MILLER TATUM |
| Credential | M.ED, CCC-SLP |
| Practice Address |
122 Eglin Pkwy Ne Fort Walton Beach FL 32548-4917 |
| Practice Telephone | 8508639973 |
| Practice Fax Number | 8508639974 |
| Mailing Telephone | 8508639973 |
| Mailing Fax Number | 8508639974 |
| Enumeration Date | 2010-06-16 |
| Last Update Date | 2011-09-06 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 235Z00000X | Speech-Language Pathologist | SA11089 | FL | Speech, Language and Hearing Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003033192 | Mary Victoria Tatum | Dentist | 92 Courtenay Dr, Charleston, SC 29403-5742 | 2007-04-19 |
| 1225423163 | Mary Tatum | Counselor | 515 N Flagler Dr, Suite P-300, West Palm Beach, FL 33401-4321 | 2015-03-30 |
| 1013253871 | Mary E Tatum | Nurse Practitioner | 4500 San Pablo Rd S, Jacksonville, FL 32224-1865 | 2012-12-26 |
| Street Address |
122 EGLIN PKWY NE |
| City | FORT WALTON BEACH |
| State | FL |
| Zip Code | 32548-4917 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225180060 | Catherine Riley | Speech-Language Pathologist | 122 Eglin Pkwy Ne, Fort Walton Beach, FL 32548-4917 | 2007-01-18 |
| 1770043366 | Margaret Lummus | Hearing Instrument Specialist | 122 Eglin Pkwy Ne, Fort Walton Beach, FL 32548-4917 | 2019-03-21 |
| 1548598204 | Michelle Wildman, Occupational Therapist, P.a. | Day Training, Developmentally Disabled Services | 122 Eglin Pkwy Ne, Fort Walton Beach, FL 32548-4917 | 2009-11-18 |
| 1003962317 | Michelle Anne Wildman | Day Training, Developmentally Disabled Services | 122 Eglin Pkwy Ne, Fort Walton Beach, FL 32548-4917 | 2007-01-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932718426 | Erica Darby | Pharmacist | Publix, 421 Mary Esther Cut Off, Fort Walton Beach, FL 32548 | 2020-07-30 |
| 1770136681 | Michael Cody Jones | Pharmacist | 251 Miacle Strip Pkwy Se, Fort Walton Beach, FL 32548 | 2019-07-19 |
| 1346714532 | Alison Ann Gould | Occupational Therapy Assistant | Emerald Coast Heath Care, 114 Third St, Fort Walton Beach, FL 32548 | 2019-01-22 |
| 1699217695 | Mayra Lopez | Dentist | Blvd. Gomez Morin #8569, Suite 6a, Juarez, CHIHUAHUA 32548 | 2016-11-08 |
| 1265808455 | Rajiv Tuladhar Dmd Holdings, Pllc | Dentist | 516 Mary Esther Blvd Ste 2, Fort Walton Beach, FL 32548 | 2015-08-11 |
| 1881090702 | Annette Peadro | Behavioral Analyst | 171 Brooks St, Suite 308, Fort Walton Beach, FL 32548 | 2014-11-05 |
| 1790037729 | Julie Bradfield | Counselor | 44 Shell Ave, Fort Walton Beach, FL 32548 | 2012-10-15 |
| 1740559582 | Beth Paula Ritenour | Pharmacist | 414 Mary Esther Cutoff Nw, C, Fort Walton Beach, FL 32548 | 2011-12-23 |
| 1891080867 | Okaloosa County Council On Aging | Home Health | 207 Hospital Drive, Fort Walton Beach, FL 32548 | 2011-06-17 |
| 1649580275 | Sharon Renee Wise | Counselor | 44 Shell Avenue Se, Fort Walton Beach, FL 32548 | 2010-10-17 |
| Find all providers in zip 32548 | ||||
| Taxonomy Code | 235Z00000X |
| Grouping | Speech, Language and Hearing Service Providers |
| Classification | Speech-Language Pathologist |
| The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing. |
| Notes: "Scope of Practice in Speech-Language Pathology", American Speech-Language-Hearing Association, 2013. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356801146 | Katrina R Johnson | Speech-Language Pathologist | 24 Hollywood Blvd Sw # 7th, Fort Walton Beach, FL 32548-4893 | 2019-03-20 |
| 1194235648 | Robin Wray | Speech-Language Pathologist | 930 Mar Walt Dr D, Fort Walton Beach, FL 32547 | 2017-10-10 |
| 1922480870 | Victoria Krummel | Speech-Language Pathologist | 212 Bob Sikes Blvd, Fort Walton Beach, FL 32547-2048 | 2015-06-26 |
| 1043630445 | Arianne Angela N Victoriano Mendoza | Speech-Language Pathologist | 1001 Mar Walt Dr # 77, Fort Walton Beach, FL 32547-6780 | 2014-04-24 |
| 1275804148 | Tracie Nicole Adams | Speech-Language Pathologist | 2384 Placid Dr, Fort Walton Beach, FL 32547-2579 | 2012-01-24 |
| 1215220553 | Acie Starling | Speech-Language Pathologist | 123 Staff Dr Ne, Fort Walton Beach, FL 32548-5001 | 2011-05-19 |
| 1134439813 | Janet Fuller Flowers | Speech-Language Pathologist | 76 Waynel Cir Se, Fort Walton Beach, FL 32548-7250 | 2010-10-15 |
| 1154631232 | Jennifer Flowers | Speech-Language Pathologist | 522 Winthrop St, Fort Walton Beach, FL 32547-2679 | 2010-10-07 |
| 1477864015 | Shannon L Amos | Speech-Language Pathologist | 505 Mooney Rd Nw, Suite B, Fort Walton Beach, FL 32547-1830 | 2010-06-29 |
| 1235457052 | Magnolia Rehab Services | Speech-Language Pathologist | 1200 Crosswinds Lndg, Fort Walton Beach, FL 32547-1174 | 2010-05-05 |
| Find all providers in FORT WALTON BEACH | ||||
| City | FORT WALTON BEACH |
| Zip Code | 32548 |
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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.