Tammy Renee Tatum, CNP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

A005961 Issued in AR

Practice address

203 Lillian
Benton, AR 72015-3851

Phone

(870) 815-0337

NPI assigned

Jan 25, 2019

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AR, FL2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 2

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Nurse Practitioner, Nurse Practitioner

Practice roles

Locations

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.

• Medicine Check PC

  • Family Medicine Physician
  • Stone Mountain, GA
  • NPI 1457020497

  AR

  Medicare reassignment NPD
• Promed Preferred FL PLLC

  • Internal Medicine Physician
  • Palmetto Bay, FL
  • NPI 1821854555
  Medicare reassignment NPD
• Healogics Specialty Physicians of Missouri, LLC

  • Undersea and Hyperbaric Medicine (Preventive Medicine) Physician
  • Joplin, MO
  • NPI 1528468311

  Nurse Practitioner

  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1548374400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1703721600000",
    "number": "1891259651",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1645 ROCKWATER BLVD APT 10106",
            "city": "NORTH LITTLE ROCK",
            "state": "AR",
            "postal_code": "721144085",
            "telephone_number": "870-815-0337"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "203 LILLIAN",
            "city": "BENTON",
            "state": "AR",
            "postal_code": "720153851",
            "telephone_number": "870-815-0337"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TATUM",
        "first_name": "TAMMY",
        "middle_name": "RENEE",
        "credential": "CNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-01-25",
        "last_updated": "2023-12-28",
        "certification_date": "2023-12-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "AR",
            "license": "A005961",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brandi Talley, RECOVERY ASSISTANT
• Krystal Talley
• Ashlee Michelle Tappe, MS, RD, LD
• Chad Michael Tarver, PHARM D
• Elizabeth Madison Tate, BA
• Deandre Lavell Taybore
• Niesha Taybore, RECOVERY ASSISTANT
• Brittany Taylor, RECOVERY ASSISTANT
• Edward Taylor, RECOVERY ASSISTANT
• Patricia Taylor

• Nurse Practitioner in Benton, AR
• Providers in Benton, AR by specialty
• Nurse Practitioner in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.