Active NPI
Dorothy Joann Tatum
- Driver
- Stuart, VA
National Provider Identifier
1740814706
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Driver
- Practice address
- 448 Mabe LN
Stuart, VA 24171-3927 - Phone
- (276) 694-6296
- NPI assigned
- Feb 28, 2020
- Last updated
- Feb 28, 2020
- 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 |
|---|---|---|---|---|
| Driver | 172A00000X | Primary |
Addresses
Primary practice location
448 Mabe LN
Stuart, VA 24171-3927
Mailing address
448 Mabe LN
Stuart, VA 24171-3927
Phone (276) 694-6296
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1582848000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1582848000000",
"number": "1740814706",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "448 MABE LN",
"city": "STUART",
"state": "VA",
"postal_code": "241713927",
"telephone_number": "276-694-6296"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "448 MABE LN",
"city": "STUART",
"state": "VA",
"postal_code": "241713927",
"telephone_number": "276-694-6296"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TATUM",
"first_name": "DOROTHY",
"middle_name": "JOANN",
"name_prefix": "Miss",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-02-28",
"last_updated": "2020-02-28",
"certification_date": "2020-02-28",
"status": "A"
},
"taxonomies": [
{
"code": "172A00000X",
"taxonomy_group": "",
"desc": "Driver",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Stuart, VA
- Holly Nicole Stewart, M.S. CCC-SLP
- Stuart Community Hospital Inc
- Stuart Community Hospital Inc
- Stuart Community Hospital Inc
- Angela Tallman, LPC
- Kellie Leigh Tatum, OTR/L
- Team Nurse, Inc
- Elizabeth Erin Thomas, M.S., CCC-SLP
- William Thompson
- Tri Area Community Health (Tri Area Community Health at Patrick County Schools)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.