Active NPI
Summer Michele Tatum
- Behavior Technician
- Virginia Beach, VA
National Provider Identifier
1326846320
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- Practice address
- 196 Waverly Dr
Virginia Beach, VA 23452-4330 - Phone
- (757) 450-0383
- Fax
- (757) 296-0029
- NPI assigned
- Mar 5, 2025
- Last updated
- Mar 5, 2025
- 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 |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | Primary |
Addresses
Primary practice location
196 Waverly Dr
Virginia Beach, VA 23452-4330
Mailing address
196 Waverly Dr
Virginia Beach, VA 23452-4330
Phone (757) 450-0383
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lark Therapy Group LLC | Current | Accepting new patients |
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1741132800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1741132800000",
"number": "1326846320",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "196 WAVERLY DR",
"city": "VIRGINIA BEACH",
"state": "VA",
"postal_code": "234524330",
"telephone_number": "757-450-0383",
"fax_number": "757-296-0029"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "196 WAVERLY DR",
"city": "VIRGINIA BEACH",
"state": "VA",
"postal_code": "234524330",
"telephone_number": "757-450-0383",
"fax_number": "757-296-0029"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TATUM",
"first_name": "SUMMER",
"middle_name": "MICHELE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-03-05",
"last_updated": "2025-03-05",
"certification_date": "2025-03-05",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Virginia Beach, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.