Individual provider Active NPI

Rickeya Tatum-Walters

  • Clinical Social Worker
  • Waxahachie, TX
National Provider Identifier
1134062409
Registry record updated Apr 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
63466 Issued in TX
Practice address
301 S Rogers St Ste 205
Waxahachie, TX 75165-3348
Phone
(469) 981-9258
NPI assigned
Apr 13, 2026
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X 63466 TX Primary

Addresses

Primary practice location

301 S Rogers St Ste 205
Waxahachie, TX 75165-3348

Mailing address

333 Crooked LN
Mesquite, TX 75149-2556
Phone (469) 981-9258

Other names 1

  • Rickeya Tatum Other name

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": "1776038400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776038400000",
    "number": "1134062409",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "333 CROOKED LN",
            "city": "MESQUITE",
            "state": "TX",
            "postal_code": "751492556",
            "telephone_number": "469-981-9258"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 S ROGERS ST STE 205",
            "city": "WAXAHACHIE",
            "state": "TX",
            "postal_code": "751653348",
            "telephone_number": "469-981-9258"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TATUM-WALTERS",
        "first_name": "RICKEYA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2026-04-13",
        "last_updated": "2026-04-13",
        "certification_date": "2026-04-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "63466",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RICKEYA",
            "last_name": "TATUM",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Waxahachie, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 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.