Active NPI
Ashley M Jerath Tatum, M.D.
- Allergy & Immunology Physician
- Seattle, WA
National Provider Identifier
1174559686
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Allergy & Immunology Physician
- License
- MD00040523
- Practice address
- 9725 3Rd Ave NE Ste 500
Seattle, WA 98115-2024 - Phone
- (206) 527-1200
- Fax
- (206) 527-2514
- NPI assigned
- Jun 25, 2006
- Last updated
- Sep 3, 2019
- 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 |
|---|---|---|---|---|
| Allergy & Immunology Physician | 207K00000X | MD00040523 | WA | Primary |
Addresses
Primary practice location
9725 3Rd Ave NE Ste 500
Seattle, WA 98115-2024
Mailing address
9725 3Rd Ave NE Ste 500
Seattle, WA 98115-2024
Phone (206) 527-1200
Other names 1
- Ashley J Tatum
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Northwest Asthma & Allergy Center | Allergy & Immunology | Current | Accepting new patients |
| Children's Hospital & Regional Medical Center 2 | Past | Accepting new patients | |
| Northwest Asthma & Allergy Center | Allergy & Immunology | Past | Accepting new patients |
| Northwest Asthma & Allergy Center | Allergy & Immunology | Past | Accepting new patients |
Locations
9725 3rd Ave NE
Ste 500
Seattle, WA 98115
Phone (206) 527-1200
Interoperability endpoints
- https://api.platform.athenahealth.com/26116/brand/1/csg/1/fhir/r4
Organizations & group practices 4
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.
-
- Allergy & Immunology Physician
- Redmond, WA
- NPI 1760620462
-
- Children's Hospital
- Seattle, WA
- NPI 1083789630
-
- Allergy & Immunology Physician
- Richland, WA
- NPI 1154496537
-
- Allergy & Immunology Physician
- Everett, WA
- NPI 1275608648
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151193600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1567468800000",
"number": "1174559686",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9725 3RD AVE NE STE 500",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981152024",
"telephone_number": "206-527-1200",
"fax_number": "206-527-2514"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9725 3RD AVE NE STE 500",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981152024",
"telephone_number": "206-527-1200",
"fax_number": "206-527-2514"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JERATH TATUM",
"first_name": "ASHLEY",
"middle_name": "M",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-06-25",
"last_updated": "2019-09-03",
"status": "A"
},
"taxonomies": [
{
"code": "207K00000X",
"taxonomy_group": "",
"desc": "Allergy & Immunology",
"state": "WA",
"license": "MD00040523",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "ASHLEY",
"last_name": "TATUM",
"middle_name": "J",
"credential": "M.D.",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Seattle, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.