Shana S Tatum, RD

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

DT85629 Issued in TX

Practice address

104 W 12TH St Ste B
Houston, TX 77008-6990

Phone

(713) 868-4372

NPI assigned

Nov 8, 2018

Sex

Female

Sole proprietor

No

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1541635200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1541635200000",
    "number": "1922576875",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "725 GARDEN OAKS BLVD",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770185407",
            "telephone_number": "713-252-5549"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "104 W 12TH ST STE B",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770086990",
            "telephone_number": "713-868-4372"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TATUM",
        "first_name": "SHANA",
        "middle_name": "S",
        "credential": "RD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-11-08",
        "last_updated": "2018-11-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "TX",
            "license": "DT85629",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kalaya Tatum
• Kiana Tatum, AGACNP-BC
• Kortney Destiney Tatum
• Lechaunda Latrei Tatum
• Melaney Roshaun Tatum, C.E.O.
• Tatyana Surgical Affiliates, PA
• Michelle Elaine Taub, RD LD CDE BCADM
• Bill Taube, LCSW
• Ella Taubenfeld, MD
• Teresa Lynn Tauriello

• Registered Dietitian in Houston, TX
• Providers in Houston, TX by specialty
• Registered Dietitian in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 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.

Verify at the official NPI Registry.