TATUM FAHS (NPI# 1215455456) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215455456 |
| Entity Type | Individual |
| Full Name | TATUM FAHS |
| Credential | OTR/L |
| Practice Address |
2 1st Ave Peabody MA 01960 |
| Mailing Address |
64 Marshall St Somerville MA 02145-2922 |
| Practice Telephone | (860) 508-8113 |
| Mailing Telephone | 8605088113 |
| Enumeration Date | 2017-09-08 |
| Last Update Date | 2017-09-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225XH1200X |
Occupational Therapist Specialization: Hand |
12429 | MA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
2 1ST AVE |
| City | PEABODY |
| State | MA |
| Zip Code | 01960 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396747192 | Jennifer D. Goldman | Pharmacist | 2 1st Ave, Well Life, Peabody, MA 01960-4959 | 2005-08-11 |
| 1033688031 | Cynthia Marie Navarro | Licensed Practical Nurse | 2 1st Ave, Peabody, MA 01960-4959 | 2018-11-19 |
| 1861837015 | Sports Medicine North Orthopaedic Surgery, Inc. | Occupational Therapist | 2 1st Ave, Suite 211, Peabody, MA 01960-4959 | 2013-05-01 |
| 1235489121 | Kristen Ann Upham | Nurse Practitioner | 2 1st Ave, Suite 215, Peabody, MA 01960 | 2012-09-18 |
| 1669596946 | Kristen Lyn Harte | Nurse Practitioner | 2 1st Ave, Suite 215, Peabody, MA 01960-4959 | 2007-03-19 |
| 1992881643 | Francis Michael Harte | Internal Medicine | 2 1st Ave, Suite 215, Peabody, MA 01960-4909 | 2006-10-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962020321 | Kathleen Marie Cliffe | Nurse Practitioner | 15 Sandra Rd, Peabody, MA 01960 | 2020-07-10 |
| 1801398102 | Janis Melanson | Counselor | Higgins Middle School, 85 Perkins Street, Peabody, MA 01960 | 2018-03-02 |
| 1679082036 | Kelsey Ann Lima | Social Worker | 9 Centennial Drive, Suite 202, Peabody, MA 01960 | 2017-09-28 |
| 1609394485 | Victoria Jade Olechowski | Specialist/Technologist | 1002 Crane Brook Way, Peabody, MA 01960 | 2017-08-31 |
| 1841715711 | Alexandra Lee Chasse | Counselor | 9 Cenntenial Drive, Suit 202, Peabody, MA 01960 | 2017-08-11 |
| 1275982936 | Miguel A Roque | Dentist | 6 Essex Center Drive Suite 110, Peabody, MA 01960 | 2016-06-03 |
| 1528412061 | Kabamedicalcorporation | Durable Medical Equipment & Medical Supplies | 484lowell Street, Peabody, MA 01960 | 2016-04-21 |
| 1437510815 | Ana Tereza T. Wescott | Dentist | 89 Foster Street, Peabody Family Health Center, Peabody, MA 01960 | 2016-03-14 |
| 1225496474 | Ashley Motta | Counselor | 24 Jennifer Lane, Peabody, MA 01960 | 2016-02-03 |
| 1578942645 | Cerebral Palsy of Eastern Mass Incorporated | Early Intervention Provider Agency | 6 Stratis Way, Peabody, MA 01960 | 2015-05-22 |
| Find all providers in zip 01960 | ||||
| Taxonomy Code | 225XH1200X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Occupational Therapist |
| Specialization | Hand |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972681328 | Christopher John Telep | Occupational Therapist | 1 Orthopedic Dr, Peabody, MA 01960-1668 | 2006-11-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548878697 | Elizabeth Anne Hearne | Occupational Therapist | 60 Pinehurst Dr, Boxford, MA 01921-2449 | 2020-07-15 |
| 1417439878 | Emily F Freisen | Occupational Therapist | 22 Mill Street Suite 302, Arlinton, MA 02476 | 2018-09-02 |
| 1982978946 | Daniel P Joyce | Occupational Therapist | 44 Stedman Ave, Braintree, MA 02184-3218 | 2012-03-08 |
| 1104103464 | Elizabeth June Davis | Occupational Therapist | 761 Worcester Rd Fl 3, Framingham, MA 01701-5224 | 2011-11-14 |
| 1093041352 | Christina K Haufler | Occupational Therapist | 255 Washington St # 2014, Newton, MA 02458-1637 | 2009-10-21 |
| 1457524316 | Chanon Vallas | Occupational Therapist | 300 Birnie Ave Ste 304, Springfield, MA 01107-1121 | 2008-04-10 |
| 1255504734 | Kamir Pabon Smith | Occupational Therapist | 70 Francis St Fl 1, Boston, MA 02115 | 2008-04-07 |
| 1134348568 | Kara Lisa Lesiege | Occupational Therapist | 781 Worcester Rd, Metrowest Wellness Center, Framingham, MA 01701 | 2007-04-24 |
| 1457576902 | Sandra A Abdelahad | Occupational Therapist | 12 Pine Needle Rd, Mendon, MA 01756-1329 | 2007-04-17 |
| 1609995752 | Kathleen Clair Thomas | Occupational Therapist | Falmouth Hospital Rehabilitation Services 90 Ter Heun D, 90 Ter Heun Drive, Falmouth, MA 02540 | 2007-03-28 |
| Find all providers with the same taxonomy | ||||
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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.