Active NPI
Katherine Lafleur Tatum, M.S., CCC-SLP
- Speech-Language Pathologist
- Port Arthur, TX
National Provider Identifier
1760961759
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 113543
- Practice address
- 8595 Medical Center Blvd
Port Arthur, TX 77640-2428 - Phone
- (409) 721-8600
- NPI assigned
- Aug 9, 2018
- 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 |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 113543 | TX | Primary |
Addresses
Primary practice location
8595 Medical Center Blvd
Port Arthur, TX 77640-2428
Mailing address
1926 Llano St
Port Neches, TX 77651-3422
Phone (409) 344-0888
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
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 113543 | TX | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1533772800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1533772800000",
"number": "1760961759",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1926 LLANO ST",
"city": "PORT NECHES",
"state": "TX",
"postal_code": "776513422",
"telephone_number": "409-344-0888"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8595 MEDICAL CENTER BLVD",
"city": "PORT ARTHUR",
"state": "TX",
"postal_code": "776402428",
"telephone_number": "409-721-8600"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TATUM",
"first_name": "KATHERINE",
"middle_name": "LAFLEUR",
"name_prefix": "Mrs.",
"credential": "M.S., CCC-SLP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-08-09",
"last_updated": "2018-08-09",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "TX",
"license": "113543",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Port Arthur, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.