Active NPI
Maureen G. Tatu, MS, RN, CS
- Registered Nurse
- Bethlehem, PA
National Provider Identifier
1073611380
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- RN314671L
- Practice address
- 1107 Eaton Ave
Bethlehem, PA 18018-1862 - Phone
- (610) 954-3012
- NPI assigned
- Sep 20, 2006
- Last updated
- Jul 8, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | RN314671L | PA | Primary |
Addresses
Primary practice location
1107 Eaton Ave
Bethlehem, PA 18018-1862
Mailing address
801 Ostrum St
Bethlehem, PA 18015-1000
Phone (610) 954-3383
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)
- Enrolled
- Credentials
- Certified Nurse Specialist, Master of Science, Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN314671L | PA | MD | Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| St. Luke's Hospital | Past | Accepting new patients | |
| St. Luke's Hospital | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba St. Luke's Sports Medicine
- Sports Medicine (Preventive Medicine) Physician
- Bethlehem, PA
- NPI 1437356441
-
dba St. Luke's Physician Assistants
- Physician Assistant
- Bethlehem, PA
- NPI 1982798088
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158710400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1073611380",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "801 OSTRUM ST",
"city": "BETHLEHEM",
"state": "PA",
"postal_code": "180151000",
"telephone_number": "610-954-3383",
"fax_number": "610-954-6500"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1107 EATON AVE",
"city": "BETHLEHEM",
"state": "PA",
"postal_code": "180181862",
"telephone_number": "610-954-3012"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TATU",
"first_name": "MAUREEN",
"middle_name": "G.",
"credential": "MS, RN, CS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-09-20",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "PA",
"license": "RN314671L",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bethlehem, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.