Active NPI
Doris Diane Tatum
- Social Worker
- Phoenix, AZ
National Provider Identifier
1497983316
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 465467
- Practice address
- 8933 W Vernon Ave
Phoenix, AZ 85037-3628 - Phone
- (623) 247-1330
- NPI assigned
- Jun 30, 2009
- 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 |
|---|---|---|---|---|
| Social Worker | 104100000X | 465467 | AZ | Primary |
Addresses
Primary practice location
8933 W Vernon Ave
Phoenix, AZ 85037-3628
Mailing address
8933 W Vernon Ave
Phoenix, AZ 85037-3628
Phone (623) 247-1330
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 465467 | AZ | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1246320000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1246320000000",
"number": "1497983316",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8933 W VERNON AVE",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850373628",
"telephone_number": "623-247-1330"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8933 W VERNON AVE",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850373628",
"telephone_number": "623-247-1330"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TATUM",
"first_name": "DORIS",
"middle_name": "DIANE",
"name_prefix": "Ms.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-06-30",
"last_updated": "2009-06-30",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "AZ",
"license": "465467",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Phoenix, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.