DAJUNA TATOM (NPI# 1255649992) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255649992 |
| Entity Type | Individual |
| Full Name | DAJUNA TATOM |
| Credential | C.R.N.P. |
| Practice Address |
15 Hospital Dr Luverne AL 36049-7341 |
| Mailing Address |
201 Monroe St Suite 1386 Montgomery AL 36104-3735 |
| Practice Telephone | 3343352471 |
| Practice Fax Number | 3343353795 |
| Mailing Telephone | 3342067959 |
| Mailing Fax Number | 2334206399 |
| Enumeration Date | 2010-09-15 |
| Last Update Date | 2010-09-15 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
1-059257 | AL | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
15 HOSPITAL DR |
| City | LUVERNE |
| State | AL |
| Zip Code | 36049-7341 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356867949 | Alabama Department of Public Health | Home Health | 15 Hospital Dr, Luverne, AL 36049-7341 | 2017-08-16 |
| 1811417306 | Crenshaw County Health Dept Std | Public Health or Welfare | 15 Hospital Dr, Luverne, AL 36049-7341 | 2017-06-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841711918 | Cherokee Community Dialysis, LLC | Clinic/Center | 485 Northwood Drive, Centre, AL 36049 | 2017-06-29 |
| 1184171761 | Ayida Cumberland | Counselor | 8 South Place Drive, # D3, Luverne, AL 36049 | 2016-09-01 |
| 1376851162 | State of Alabama Department of Public Health | Nurse Practitioner | 15 Hospital Rd., Crenshaw Co. Health Dept, Luverne, AL 36049 | 2010-09-15 |
| 1720270697 | Professional Resources Management Psychiatric Services, LLC | Psychiatric Hospital | 150 Hospital Drive, Luverne, AL 36049 | 2007-08-15 |
| 1194800706 | Crenshaw Drugs Inc | Durable Medical Equipment & Medical Supplies | 1440 S Forest Ave, Luverne, AL 36049 | 2006-10-25 |
| 1477649705 | James Thomas Sanders | Dentist | 1666 S Forest Ave, Luverne, AL 36049 | 2006-10-05 |
| 1568631992 | State of Alabama | Public Health or Welfare | Highway 331 South, Luverne, AL 36049-0151 | 2008-02-29 |
| 1780646307 | Hometown Medical Equipment Inc | Durable Medical Equipment & Medical Supplies | 80 N Forest Ave, Luverne, AL 36049-1133 | 2006-04-06 |
| 1457308066 | Luverne Health and Rehabilitation, LLC | Skilled Nursing Facility | 142 W 3rd St, Luverne, AL 36049-1348 | 2006-05-28 |
| 1023247129 | Sheena Torial Hill | Occupational Therapist | 142 W 3rd St, Luverne, AL 36049-1348 | 2009-07-09 |
| Find all providers in zip 36049 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376851162 | State of Alabama Department of Public Health | Nurse Practitioner | 15 Hospital Rd., Crenshaw Co. Health Dept, Luverne, AL 36049 | 2010-09-15 |
| 1659849784 | Rachelle Dawn Vandegriend | Nurse Practitioner | 1601 Sioux Valley Dr, Luverne, MN 56156-4500 | 2018-11-07 |
| 1699241042 | Janet D Pouncy | Nurse Practitioner | 58 Roy Beall Dr, Luverne, AL 36049-6800 | 2018-10-23 |
| 1548753684 | Katy Marie Zogg | Nurse Practitioner | 1601 Sioux Valley Dr, Luverne, MN 56156-4500 | 2018-06-13 |
| 1770961724 | Alisha Nichole Hilburn | Nurse Practitioner | 1704 S Forest Ave, Luverne, AL 36049-7306 | 2015-05-11 |
| 1285994822 | William Grant Roper | Nurse Practitioner | 1704 S Forest Ave, Luverne, AL 36049-7306 | 2012-05-16 |
| 1235360173 | Jonathan Pap | Nurse Practitioner | 1601 Sioux Valley Dr, Luverne, MN 56156-4500 | 2009-07-27 |
| 1396981346 | Samantha Lynn Hoffman | Nurse Practitioner | 1704 S Forest Ave, Luverne, AL 36049-7306 | 2008-12-22 |
| 1467676577 | Amy Hilburn Mills | Nurse Practitioner | 1704 S Forest Ave, Luverne, AL 36049-7306 | 2007-04-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679174320 | Sweet Home Telehealth LLC | Nurse Practitioner | 3 Sudworth Dr Sw, Huntsville, AL 35824-4099 | 2020-11-07 |
| 1851991954 | Terry Brock | Nurse Practitioner | 4232 Cahaba Dr, Vestavia, AL 35243-1600 | 2020-10-28 |
| 1568062784 | Stephanie Terese Godwin | Nurse Practitioner | 391 Ashcraft Ln, Atmore, AL 36502-4225 | 2020-10-27 |
| 1588264725 | Sabine Susanne Lamont | Nurse Practitioner | 41 Eminence Way, Suite A, Pell City, AL 35128-2338 | 2020-10-27 |
| 1386243574 | Carl Andrew Ballard | Nurse Practitioner | 2635 Johnson Bottom Rd, Detroit, AL 35552-2731 | 2020-10-20 |
| 1023616661 | Yaira Maldonado | Nurse Practitioner | 191 Lee Road 207, Phenix City, AL 36870-8240 | 2020-10-15 |
| 1295333409 | Olivia Palmer | Nurse Practitioner | 770 W Market St, Athens, AL 35611 | 2020-10-12 |
| 1720685050 | Sean Jackson | Nurse Practitioner | 217 Tradewinds Cir, Alabaster, AL 35007-3019 | 2020-10-09 |
| 1104423235 | Rita Wiggins Branch | Nurse Practitioner | 12350 Flint Dr, Moundville, AL 35474-6246 | 2020-10-01 |
| 1538776778 | Mary Katherine Brandler | Nurse Practitioner | 1171 King Arthur Ct, Alabaster, AL 35007-3000 | 2020-09-30 |
| 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.