Active NPI
Tabitha Ann Tatman, MT
- Massage Therapist
- El Dorado, KS
National Provider Identifier
1720645849
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 41522
- Practice address
- 215 N Vine St
El Dorado, KS 67042-2055 - Phone
- (316) 323-3273
- NPI assigned
- May 23, 2019
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Massage Therapist | 225700000X | 41522 | KS | Primary |
Addresses
Primary practice location
215 N Vine St
El Dorado, KS 67042-2055
Mailing address
4362 SW 4TH Ter
El Dorado, KS 67042-8456
Phone (785) 418-3343
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
- Medical Technician
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 41522 | KS | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1558569600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1558569600000",
"number": "1720645849",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4362 SW 4TH TER",
"city": "EL DORADO",
"state": "KS",
"postal_code": "670428456",
"telephone_number": "785-418-3343"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "215 N VINE ST",
"city": "EL DORADO",
"state": "KS",
"postal_code": "670422055",
"telephone_number": "316-323-3273"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TATMAN",
"first_name": "TABITHA",
"middle_name": "ANN",
"credential": "MT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-05-23",
"last_updated": "2019-05-23",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "KS",
"license": "41522",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in El Dorado, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.