Active NPI
Nancy Tatum
- Speech-Language Pathologist
- San Antonio, TX
National Provider Identifier
1568847325
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 110284
- Practice address
- 730 N Main Ave Ste 107
San Antonio, TX 78205-1115 - Phone
- (210) 297-7725
- Fax
- (210) 297-0731
- NPI assigned
- Jul 22, 2015
- Last updated
- Aug 3, 2016
- 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 |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 110284 | TX | Primary |
Addresses
Primary practice location
730 N Main Ave Ste 107
San Antonio, TX 78205-1115
Mailing address
730 N Main Ave Ste 107
San Antonio, TX 78205-1115
Phone (210) 297-7725
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 |
|---|---|---|---|
| 110284 | TX | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1437523200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1470182400000",
"number": "1568847325",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "730 N MAIN AVE STE 107",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782051115",
"telephone_number": "210-297-7725",
"fax_number": "210-297-0731"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "730 N MAIN AVE STE 107",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782051115",
"telephone_number": "210-297-7725",
"fax_number": "210-297-0731"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TATUM",
"first_name": "NANCY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-07-22",
"last_updated": "2016-08-03",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "TX",
"license": "110284",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Antonio, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.