Patricia Allison Tatum, NURSE PRACTITIONER

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

650816 Issued in TX

Practice address

14355 Miranda Way
Los Altos Hills, CA 94022-2032

Phone

(888) 731-8994

NPI assigned

Jan 31, 2007

Reactivated

Oct 28, 2024

Last updated

Oct 28, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2006

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

DCS Medical PAGroup PAC ID 0042507600, 155 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• DCS Medical PA

  dba Integrity Urgent Care

  • Urgent Care Clinic/Center
  • Princeton, TX
  • NPI 1285082768
  Medicare reassignment Care Compare group NPD
• DCS Medical PA

  dba Integrity Urgent Care

  • Rural Health Clinic/Center
  • Bonham, TX
  • NPI 1063138741
  NPD
• Allergy & Asthma Care of Waco, PA

  • Specialist
  • Waco, TX
  • NPI 1487847463
  NPD (past)
• DCS Medical PA

  • Rural Health Clinic/Center
  • Corsicana, TX
  • NPI 1124762646
  NPD (past)
• GTG Enterprises, LLC

  • Family Medicine Physician
  • Waco, TX
  • NPI 1588240782
  NPD (past)
• Medical Parkway Family Practice,LLP

  dba Brazos Family Medicine

  • Family Medicine Physician
  • Waco, TX
  • NPI 1104996735
  NPD (past)

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

{
    "created_epoch": "1170201600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730073600000",
    "number": "1194862961",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "155 COUNTY ROAD 511",
            "city": "STEPHENVILLE",
            "state": "TX",
            "postal_code": "764018064",
            "telephone_number": "254-723-0362"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14355 MIRANDA WAY",
            "city": "LOS ALTOS HILLS",
            "state": "CA",
            "postal_code": "940222032",
            "telephone_number": "888-731-8994"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TATUM",
        "first_name": "PATRICIA",
        "middle_name": "ALLISON",
        "credential": "NURSE PRACTITIONER",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-31",
        "last_updated": "2024-10-28",
        "certification_date": "2023-09-07",
        "deactivation_date": "2024-10-09",
        "reactivation_date": "2024-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "650816",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "650816",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nicole Shin, NP
• Angel Marie Smith, APRN, WHNP-BC
• Paul Norman Snider, MD
• Jenna Harris Starko, WHNP
• Edward Brad Stinson, M.D.
• Saba Torabian, PHD
• Catherine Julia Varsanyi, DDS
• Sarah Wallis, MSN CNM WHNP-BC
• Lisa Walton, PHD
• Julie A Welsh, APRN-C

• Family Medicine Physician in Los Altos Hills, CA
• Providers in Los Altos Hills, CA by specialty
• Family Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2024; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.