Active NPI
Melaney Roshaun Tatum, C.E.O.
- Case Manager/Care Coordinator
- Houston, TX
National Provider Identifier
1053971713
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Case Manager/Care Coordinator
- Practice address
- 6605 Hogue St Apt 10
Houston, TX 77087-6406 - Phone
- (936) 899-8966
- NPI assigned
- Jun 15, 2019
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Based Hospice Care Agency | 251G00000X | |||
| Case Manager/Care Coordinator | 171M00000X | TX | Primary |
Addresses
Primary practice location
6605 Hogue St Apt 10
Houston, TX 77087-6406
Mailing address
6605 Hogue St Apt 10
Houston, TX 77087-6406
Phone (936) 899-8966
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 84-1883213 | Other | TX | DUNS |
Other names 1
- Earnest B Jackson
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | uplifthouseinc@outlook.com | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1560556800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1560556800000",
"number": "1053971713",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6605 HOGUE ST APT 10",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770876406",
"telephone_number": "936-899-8966"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6605 HOGUE ST APT 10",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770876406",
"telephone_number": "936-899-8966"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TATUM",
"first_name": "MELANEY",
"middle_name": "ROSHAUN",
"credential": "C.E.O.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-06-15",
"last_updated": "2019-06-15",
"status": "A"
},
"taxonomies": [
{
"code": "251G00000X",
"taxonomy_group": "",
"desc": "Hospice Care, Community Based",
"state": null,
"license": null,
"primary": false
},
{
"code": "171M00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Case Manager/Care Coordinator",
"state": "TX",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DUNS",
"identifier": "84-1883213",
"state": "TX"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "uplifthouseinc@outlook.com",
"affiliation": "N",
"endpointDescription": "office email",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "6605 Hogue St Apt 10",
"city": "Houston",
"state": "TX",
"country_code": "US",
"postal_code": "770876406",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"first_name": "EARNEST",
"last_name": "JACKSON",
"middle_name": "B",
"credential": "C.O.O.",
"code": "2",
"type": "Professional Name"
}
]
}Other providers in Houston, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.