KERI TATUM (NPI# 1467840629) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467840629 |
| Entity Type | Individual |
| Full Name | KERI TATUM |
| Credential | FNP |
| Practice Address |
227 Memorial Dr Gatesville TX 76528-1028 |
| Mailing Address |
Po Box 844658 Dallas TX 75284-4658 |
| Practice Telephone | 2542486500 |
| Practice Fax Number | 2542386594 |
| Enumeration Date | 2014-12-22 |
| Last Update Date | 2016-11-17 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
AP127123 | TX | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
227 MEMORIAL DR |
| City | GATESVILLE |
| State | TX |
| Zip Code | 76528-1028 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629030374 | Paxton H. Howard Jr. | Internal Medicine | 227 Memorial Dr, Gatesville, TX 76528-1028 | 2006-04-06 |
| 1932468659 | Angelica Clark | Physician Assistant | 227 Memorial Dr, Gatesville, TX 76528-1028 | 2012-05-15 |
| 1508165655 | Victoria Elizabeth Wahlenmaier | Nurse Practitioner | 227 Memorial Dr, Gatesville, TX 76528-1028 | 2011-03-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649751850 | Shannon Neuharth | Physical Therapy Assistant | 300 South Highway 36 Bypass, Gatesville, TX 76528 | 2018-08-25 |
| 1083149835 | Kathryn Cordell | Peer Specialist | 2400 Greenbriar Road, Gatesville, TX 76528 | 2017-04-28 |
| 1205375334 | Angel Edwards | Behavior Technician | 136 North 28th Street, Gatesville, TX 76528 | 2017-02-22 |
| 1790133775 | Peter Bealka | Ophthalmology | 2406 S. Business Highway 36, Gatesville, TX 76528 | 2016-05-31 |
| 1356748230 | Hcaa, LLC | Clinic/Center | 2610 Osage Road, Gatesville, TX 76528 | 2014-11-20 |
| 1215346788 | Deborah Stephens | Dentist | 1916 N. Hwy 36, Gatesville, TX 76528 | 2014-08-08 |
| 1144419672 | Neil M. Bealka Jr.,m.d. Pa | Ophthalmology | 2406 S. Business Hwy 36, Gatesville, TX 76528 | 2007-10-22 |
| 1386762920 | Cynthia Treadway Bankston | Hearing Instrument Specialist | 145 Cr 107, Gatesville, TX 76528 | 2007-03-26 |
| 1437268885 | H-e-b, Lp | Clinical Medical Laboratory | 1207 E Main St, Gatesville, TX 76528 | 2006-08-30 |
| 1336182310 | Neil Michael Bealka Jr. | Ophthalmology | 2406 S Business Hwy 36, Gatesville, TX 76528 | 2006-06-14 |
| Find all providers in zip 76528 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336487644 | Melvin None Wright | Nurse Practitioner | 401 Riata, 401 Riata, Gatesville, TX 76528-2696 | 2013-01-21 |
| 1982825550 | Lana Cliett Brunett | Nurse Practitioner | 1401 State School Rd., Gatesville, TX 76599 | 2007-05-01 |
| 1518514025 | Anne Marie Monte-parker | Nurse Practitioner | 501 Main St, Gatesville, NC 27938-9424 | 2019-08-20 |
| 1316427883 | Kelli Dudley | Nurse Practitioner | 1507 W Main St, Gatesville, TX 76528-1024 | 2018-08-15 |
| 1912485293 | Alecia Nicole Eads | Nurse Practitioner | 1507 W Main St, Gatesville, TX 76528-1024 | 2018-07-30 |
| 1679065833 | Ashley Lynette Stephens | Nurse Practitioner | 1507 W Main St, Gatesville, TX 76528-1024 | 2018-06-04 |
| 1295241305 | Kerry Zacharias | Nurse Practitioner | 1507 W Main St, Gatesville, TX 76528-1024 | 2017-12-27 |
| 1588039036 | Shelley Ann Smith | Nurse Practitioner | 501 Main St, Gatesville, NC 27938-9424 | 2015-12-09 |
| 1598136418 | Crystal Dowell | Nurse Practitioner | 1507 W Main St, Gatesville, TX 76528-1024 | 2015-10-19 |
| 1629478730 | Racheal Elliott Shaddeau | Nurse Practitioner | 501 Main St, Gatesville, NC 27938-9424 | 2014-08-26 |
| Find all providers in GATESVILLE | ||||
| City | GATESVILLE |
| Zip Code | 76528 |
Please comment or provide details below to improve the information on KERI TATUM.
| 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.