Sandericka Tatum, PMHNP-BC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

230744 Issued in AR

Practice address

1300 Braden St
Jacksonville, AR 72076-3719

Phone

(501) 453-6950

NPI assigned

Feb 7, 2025

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

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 1

Specialty

Nurse Practitioner

Education

Other, 2024

Medicare assignment

May accept Medicare assignment

Group practices

White County Medical CenterGroup PAC ID 4880688654, 182 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

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.

• White County Medical Center

  • Hospitalist Physician
  • Searcy, AR
  • NPI 1053662890
  Medicare reassignment Care Compare group NPD
• Supportive Psych Care of Arkansas PA

  • Psychiatry Physician
  • Siloam Springs, AR
  • NPI 1437887437
  Medicare reassignment NPD
• Unity Health - Newport

  • Critical Access Hospital
  • Newport, AR
  • NPI 1508450339
  Medicare reassignment NPD
• White County Medical Center

  • Primary Care Clinic/Center
  • Clinton, AR
  • NPI 1295285906
  NPD
• White County Medical Center

  • Obstetrics & Gynecology Physician
  • Newport, AR
  • NPI 1740940220
  NPD

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

{
    "created_epoch": "1738886400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1777852800000",
    "number": "1891500922",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1300 BRADEN ST",
            "city": "JACKSONVILLE",
            "state": "AR",
            "postal_code": "720763719",
            "telephone_number": "501-453-6950"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1300 BRADEN ST",
            "city": "JACKSONVILLE",
            "state": "AR",
            "postal_code": "720763719",
            "telephone_number": "501-453-6950"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TATUM",
        "first_name": "SANDERICKA",
        "credential": "PMHNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-02-07",
        "last_updated": "2026-05-04",
        "certification_date": "2026-05-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "AR",
            "license": "230744",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Andrea Stiles, LCSW
• Josh Hogan Strickland, LPC
• Sue Sullivan, APN
• Andrea Paige Sumner, LPC
• T Fuller Enterprises
• Elizabeth Virginia Taylor, LAC
• Susan Ellis Taylor, OTRL
• Terrill A Taylor, QBHP
• Ted M. Pinney, DDS, PA
• Molly Frances Telford, LCSW

• Psychiatric/Mental Health Nurse Practitioner in Jacksonville, AR
• Providers in Jacksonville, AR by specialty
• Psychiatric/Mental Health Nurse Practitioner in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2026; 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.
• 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.

Verify at the official NPI Registry.