Active NPI
Anthony Wayne Tatman, PHD
- Clinical Psychologist
- Des Moines, IA
National Provider Identifier
1295832533
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 01008
- Practice address
- 2404 Forest Dr
Des Moines, IA 50312-5400 - Phone
- (515) 282-0304
- Fax
- (515) 282-1328
- NPI assigned
- Sep 20, 2006
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 01008 | IA | Primary |
Addresses
Primary practice location
2404 Forest Dr
Des Moines, IA 50312-5400
Mailing address
1000 Washington Ave
Des Moines, IA 50314
Phone (515) 242-6582
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
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 01008 | IA | MD | Pediatric Nutrition Registered Dietitian |
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": "1210118400000",
"number": "1295832533",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1000 WASHINGTON AVE",
"city": "DES MOINES",
"state": "IA",
"postal_code": "50314",
"telephone_number": "515-242-6582",
"fax_number": "515-242-6625"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2404 FOREST DR",
"city": "DES MOINES",
"state": "IA",
"postal_code": "503125400",
"telephone_number": "515-282-0304",
"fax_number": "515-282-1328"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TATMAN",
"first_name": "ANTHONY",
"middle_name": "WAYNE",
"name_prefix": "Dr.",
"credential": "PHD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-09-20",
"last_updated": "2008-05-07",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "IA",
"license": "01008",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Des Moines, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.