Christina Dianne Tatum

Primary specialty

Assistant Behavior AnalystTaxonomy code 106E00000X

Practice address

904 NW 4TH St
Stigler, OK 74462-1653

Phone

(918) 967-8223

NPI assigned

Sep 20, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Christina Dianne Gray Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Homebased Services and Resources

  • Community/Behavioral Health Agency
  • Stigler, OK
  • NPI 1386079648
  NPD

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

{
    "created_epoch": "1632096000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1632096000000",
    "number": "1194495291",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "904 NW 4TH ST",
            "city": "STIGLER",
            "state": "OK",
            "postal_code": "744621653",
            "telephone_number": "918-967-8223"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "904 NW 4TH ST",
            "city": "STIGLER",
            "state": "OK",
            "postal_code": "744621653",
            "telephone_number": "918-967-8223"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TATUM",
        "first_name": "CHRISTINA",
        "middle_name": "DIANNE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-09-20",
        "last_updated": "2021-09-20",
        "certification_date": "2021-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106E00000X",
            "taxonomy_group": "",
            "desc": "Assistant Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CHRISTINA",
            "last_name": "GRAY",
            "middle_name": "DIANNE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Stigler Health and Wellness Center, Inc
• Stigler Imaging, Infusion & Specialty Center Inc
• Stigler Public Schools
• David Mitch Sutter, PRSS
• Joseph Franklin Swink Jr., DDS
• The Good Karma Clinic
• Terri Thelen, MA
• Thompson Hometown Eyecare LLC
• Benjamin Campbell Thompson, O.D.
• Karen Thurston

• All providers in Stigler, OK
• Assistant Behavior Analyst in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2021; 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.