Active NPI
Samantha Johanne Tatum, OT
- Occupational Therapist
- Nicholasville, KY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 135045
- Practice address
- 610 E Brannon Road Suite 200
Nicholasville, KY 40356 - NPI assigned
- Dec 11, 2019
- 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 |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 135045 | KY | Primary |
Addresses
Primary practice location
610 E Brannon Road Suite 200
Nicholasville, KY 40356
Mailing address
5200 Commerce Crossing 3Rd Floor
Louisville, KY 40229
Phone (502) 489-6615
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | statum7579@bhkydirect.com |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KY
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Occupational Therapist in Private Practice
- Education
- Other, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1165 Monarch St
Lexington, KY 40513-1979
Phone (844) 502-7996
Merit-based Incentive Payment System (MIPS)
- Final score
- 94.29 of 100
- Quality
- 87.32
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Baptist Health Medical Group Inc | Occupational Therapist | Current | Accepting new patients |
| Baptist Health Medical Group Inc | Current | Accepting new patients | |
| Empowerme Rehabilitation Kentucky, LLC | Occupational Therapist | Current | Accepting new patients |
| Empowerme Rehabilitation Kentucky, LLC | Current | Accepting new patients |
Locations
5200 Commerce Crossings Dr
Fl 3
Louisville, KY 40229
Phone (502) 253-4924
3900 Kresge Way
Ste 41
Louisville, KY 40207
Phone (502) 896-1313
610 E Brannon Rd
Ste 200
Nicholasville, KY 40356
Phone (859) 260-5555
610 E Brannon Rd
Nicholasville, KY 40356
Phone (859) 260-5540
1335 Strassner Dr
Saint Louis, MO 63144
Phone (314) 673-6723
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Multi-Specialty Clinic/Center
- Lexington, KY
- NPI 1275166696
Occupational Therapist
-
- Rural Health Clinic/Center
- Dawson Springs, KY
- NPI 1982178216
-
- Urgent Care Clinic/Center
- Louisville, KY
- NPI 1508269200
Occupational Therapist
-
- Rehabilitation Clinic/Center
- Florence, KY
- NPI 1669195640
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1576022400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1606953600000",
"number": "1609414507",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5200 COMMERCE CROSSING 3RD FLOOR",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "40229",
"telephone_number": "502-489-6615",
"fax_number": "502-489-5751"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "610 E BRANNON ROAD SUITE 200",
"city": "NICHOLASVILLE",
"state": "KY",
"postal_code": "40356"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TATUM",
"first_name": "SAMANTHA",
"middle_name": "JOHANNE",
"credential": "OT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-12-11",
"last_updated": "2020-12-03",
"certification_date": "2020-12-03",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "KY",
"license": "135045",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "statum7579@bhkydirect.com",
"affiliation": "N",
"address_1": "610 E Brannon Road Suite 200",
"city": "Nicholasville",
"state": "KY",
"country_code": "US",
"postal_code": "40356",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Nicholasville, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- 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.