TERESE TATUM (NPI# 1144583238) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144583238 |
| Entity Type | Individual |
| Full Name | TERESE TATUM |
| Credential | FNP |
| Practice Address |
350 Bon Air Ctr Suite 200 Greenbrae CA 94904-3000 |
| Practice Telephone | 4155783095 |
| Practice Fax Number | 4152910489 |
| Mailing Telephone | 4155783095 |
| Mailing Fax Number | 4152910489 |
| Enumeration Date | 2012-06-22 |
| Last Update Date | 2014-05-05 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
20100 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
350 BON AIR CTR SUITE 200 |
| City | GREENBRAE |
| State | CA |
| Zip Code | 94904-3000 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356340079 | Kathy H Chang-lipsenthal | Internal Medicine | 350 Bon Air Ctr, Suite 200, Greenbrae, CA 94904-3000 | 2005-07-14 |
| 1073880787 | Marisa Woods | Nurse Practitioner | 350 Bon Air Ctr, Suite 200, Greenbrae, CA 94904-3000 | 2011-11-23 |
| 1407183858 | Oksana Sytova | Nurse Practitioner | 350 Bon Air Ctr, Suite 200, Greenbrae, CA 94904-3000 | 2009-11-05 |
| 1154552818 | Mary Elizabeth Safrit | Nurse Practitioner | 350 Bon Air Ctr, Suite 200, Greenbrae, CA 94904-3000 | 2009-07-29 |
| 1801916044 | Sally C Ward | Family Medicine | 350 Bon Air Ctr, Suite 200, Greenbrae, CA 94904-3000 | 2007-03-30 |
| 1851430896 | Kimberlie Keller | Family Medicine | 350 Bon Air Ctr, Suite 200, Greenbrae, CA 94904-3000 | 2007-02-06 |
| 1386734150 | Bertrand Andre Vandeville | Family Medicine | 350 Bon Air Ctr, Suite 200, Greenbrae, CA 94904-3000 | 2006-10-13 |
| 1396834354 | Grace Kim Hochstoeger | Nurse Practitioner | 350 Bon Air Ctr, Suite 200, Greenbrae, CA 94904-3000 | 2006-10-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295382372 | Stacey Nicole Drew | Occupational Therapist | 4 Ash Ave, Unit 10, Kentfield, CA 94904 | 2019-08-22 |
| 1154781631 | Harvey Sparks | Specialist/Technologist, Other | 350 Bon Air, Ste 100, Greenbrae, CA 94904 | 2016-02-26 |
| 1396120481 | Tamena Potts | Counselor | 1109 Sir Francis Drake, Kentfield, CA 94904 | 2015-07-30 |
| 1598014763 | Rupali Ray Chaudhuri | Nurse Practitioner | 1341 S. Eliseo Dr, Suite 200, Greenbrae, CA 94904 | 2012-09-04 |
| 1326304809 | Lucy Yingxin Zhang | Ophthalmology | 900 S Eliseo Dr Ste 102, Greenbrae, CA 94904 | 2012-04-09 |
| 1396073185 | Bonnie Louise Hoag | Marriage & Family Therapist | 905 Sir Francis Drake Blvd., Ste. F., Kentfield, CA 94904 | 2009-12-07 |
| 1801043880 | Alexander Vogel Uihlein | Internal Medicine | 900 S Eliseo Dr Ste 201, Greenbrae, CA 94904 | 2008-08-21 |
| 1649426115 | Marilyn Thatcher | Psychologist | 1010 Sir Francis Drake Blve, Ste. 103, Kentfield, CA 94904 | 2008-08-14 |
| 1205007598 | Sir Francis Drake Dental | Dentist | 919 Sir Francis Drake Blvd, Kentfield, CA 94904 | 2008-03-14 |
| 1841401734 | Rishi K Wadhwa | Neurological Surgery | 1100 S Eliseo Dr Ste 1, Greenbrae, CA 94904 | 2007-05-24 |
| Find all providers in zip 94904 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972150886 | Jessica Zheng | Nurse Practitioner | 1000 S Eliseo Dr # 101, Greenbrae, CA 94904-2133 | 2019-08-25 |
| 1134602667 | Amy Blevins | Nurse Practitioner | 1300 S Eliseo Dr Ste 101, Greenbrae, CA 94904-2014 | 2018-09-11 |
| 1861944811 | Nicole Stanton Mott | Nurse Practitioner | 206 Bon Air Ctr, Greenbrae, CA 94904-2416 | 2016-10-25 |
| 1598014763 | Rupali Ray Chaudhuri | Nurse Practitioner | 1341 S. Eliseo Dr, Suite 200, Greenbrae, CA 94904 | 2012-09-04 |
| 1528331212 | Barbara Wyeth | Nurse Practitioner | 1341 S Eliseo Dr Ste 200, Greenbrae, CA 94904-2000 | 2012-02-11 |
| 1588106579 | Jessica Hovatter | Nurse Practitioner | 1100 S Eliseo Dr, Suite 1, Greenbrae, CA 94904-2017 | 2016-11-08 |
| 1720462732 | Thomas Desnoyers | Nurse Practitioner | 250 Bon Air Rd, Greenbrae, CA 94904-1702 | 2015-07-20 |
| 1801172598 | Melissa Ovalles Tejada | Nurse Practitioner | 1350 S Eliseo Dr, Suite 130, Greenbrae, CA 94904-2011 | 2011-10-26 |
| 1033356696 | Deborah Anne Weber | Nurse Practitioner | 900 S Eliseo Dr Ste 202, Greenbrae, CA 94904-2153 | 2009-01-18 |
| 1346497658 | Kirsten Wilson Ellis | Nurse Practitioner | 1350 S Eliseo Dr, Ste 130, Greenbrae, CA 94904-2011 | 2008-08-19 |
| Find all providers in GREENBRAE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.