Jamier M Tatum

Primary specialty

ContractorTaxonomy code 171W00000X

Practice address

9809 Wild Prairie Way
Crowley, TX 76036-4277

Phone

(817) 240-3153

NPI assigned

Feb 7, 2025

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1738886400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784419200000",
    "number": "1033924089",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1040 FAIRFAX DR",
            "city": "GODLEY",
            "state": "TX",
            "postal_code": "760443869",
            "telephone_number": "214-970-5420"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9809 WILD PRAIRIE WAY",
            "city": "CROWLEY",
            "state": "TX",
            "postal_code": "760364277",
            "telephone_number": "817-240-3153"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TATUM",
        "first_name": "JAMIER",
        "middle_name": "M",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-02-07",
        "last_updated": "2026-07-19",
        "certification_date": "2026-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171W00000X",
            "taxonomy_group": "",
            "desc": "Contractor",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Charles Benson Sudell
• Kathy Lorriene Sullivent, LVN
• Suretest Laboratory,LLC
• Saba Saleem Tareen, DMD
• Viktoria Taskov
• Lori Anne Taylor
• The Doc'S Office Medical Group, PLLC
• The Healing Place Psychiatry & Wellness PLLC
• The Luminance Psychiatry PLLC
• The Maples North Texas, LLC

• Contractor in Crowley, TX
• Providers in Crowley, TX by specialty
• Contractor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.