TRACEY D TATUM (NPI# 1568588960) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568588960 |
| Entity Type | Individual |
| Full Name | TRACEY D TATUM |
| Credential | NP |
| Practice Address |
7101 Jahnke Rd Suite 500 Richmond VA 23225-4017 |
| Mailing Address |
1051 Johnston Willis Dr Ste 200 North Chesterfield VA 23235-4871 |
| Practice Telephone | 8043202751 |
| Practice Fax Number | 8046739218 |
| Mailing Telephone | 8043202751 |
| Mailing Fax Number | 8046739218 |
| Enumeration Date | 2007-03-21 |
| Last Update Date | 2016-01-19 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
0024164843 | VA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
7101 JAHNKE RD SUITE 500 |
| City | RICHMOND |
| State | VA |
| Zip Code | 23225-4017 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558365361 | Michelle Catherine Lynam | Anesthesiology | 7101 Jahnke Rd, Richmond, VA 23225-4017 | 2005-06-09 |
| 1891393500 | Cameron Paksoy | Physician Assistant | 7101 Jahnke Rd, Richmond, VA 23225-4017 | 2020-10-14 |
| 1710596077 | Cecile Elizabeth Defalco | Registered Nurse | 7101 Jahnke Rd, Richmond, VA 23225-4044 | 2020-07-23 |
| 1194346734 | Burn and Reconstructive Centers of Virginia, Pllc | Specialist | 7101 Jahnke Rd, Richmond, VA 23225-4017 | 2020-05-06 |
| 1144864166 | Victoria Isabel Tamayo | Registered Nurse | 7101 Jahnke Rd, Richmond, VA 23225-4044 | 2019-11-01 |
| 1013550235 | Lauren Paige Johnson Feldmann | Nurse Practitioner | 7101 Jahnke Rd, Richmond, VA 23225-4017 | 2019-10-21 |
| 1508409913 | Forward Pathology Solutions LLC | Pathology | 7101 Jahnke Rd, Richmond, VA 23225-4017 | 2019-10-18 |
| 1417508656 | Molly A Gayden | Physician Assistant | 7101 Jahnke Rd, Richmond, VA 23225-4017 | 2019-09-27 |
| 1912554270 | Hayley Elizabeth Fisher | Physician Assistant | 7101 Jahnke Rd, Richmond, VA 23225-4044 | 2019-08-21 |
| 1659938520 | Judy Ann-lee Hale | Nurse Practitioner | 7101 Jahnke Rd, Richmond, VA 23225-4017 | 2019-05-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114524543 | Alliance Mental Health LLC | Nurse Practitioner | 7400 Beaufont Springs Drive Pmb#2867, Suite 300, Richmond, VA 23225 | 2020-10-08 |
| 1134734957 | Ai H Garner | Nurse Practitioner | 7400 Beaufont Springs Drive Pmb# 2867, Suite 300, Richmond, VA 23225 | 2020-09-09 |
| 1659996023 | Amira Transport Inc. | Non-emergency Medical Transport (VAN) | 7400 Beaufont Springs Drive, Suite 300, North Chesterfield, VA 23225 | 2020-06-11 |
| 1548881352 | Kevin Raymond Tarlow | Psychologist | 2000 Riverside Drive, Apt. 6c, Richmond, VA 23225 | 2020-05-04 |
| 1619522000 | Spring Transport Inc | Non-emergency Medical Transport (VAN) | 2418 W Tremont Ct, Richmond, VA 23225 | 2019-08-02 |
| 1063976660 | Kelly Erin Mitchell | Nurse Practitioner | 7401 Beaufort Springs Dr, Suite 205, Richmond, VA 23225 | 2019-01-28 |
| 1760977540 | Marchett Hopkins | Counselor | 1601 Skilift Ln, Richmond, VA 23225 | 2018-06-25 |
| 1821582644 | Infinite Solutions Behavioral Services, LLC | Case Management | 6946 Forest Hill Ave Suite B, Richmond, VA 23225 | 2018-06-15 |
| 1922595230 | Andrea Ruth Steegmayer | Registered Nurse | Vcu Health System, 1250 E. Marshall Street, Richmond, VA 23225 | 2018-04-23 |
| 1306340153 | Eric Sheldon Jacobson | Internal Medicine | 2956 Hathaway Rd, Apt. 1101, Richmond, VA 23225 | 2018-03-19 |
| Find all providers in zip 23225 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952908519 | Demia Houston Louis | Nurse Practitioner | 19722 Norfolk Ridge Way, Richmond, TX 77407-7124 | 2020-10-07 |
| 1134726284 | Tara Hart | Nurse Practitioner | 521 Lancaster Ave # 223, Richmond, KY 40475-3102 | 2020-10-01 |
| 1689280372 | Chinyere Onyemaechi Adiuku | Nurse Practitioner | Chinyere Adiuku, 17831 Planters Path Lane, Richmond, TX 77407-7740 | 2020-09-18 |
| 1598379596 | Rebecca Pfeifer-rosenblum | Nurse Practitioner | 5939 Sutter Ave, Richmond, CA 94804-5260 | 2020-09-07 |
| 1578176970 | Grace Pulliam Gilmore | Nurse Practitioner | 29 Malvern Ave Apt 5, Richmond, VA 23221-2666 | 2020-08-25 |
| 1891306429 | Caroline Njuguna | Nurse Practitioner | 7210 Still Haven Dr, Richmond, TX 77407-7131 | 2020-08-17 |
| 1720699143 | Rukayat Omolara Yusuf | Nurse Practitioner | 8506 Heather Maple Ct, Richmond, TX 77407-2476 | 2020-08-10 |
| 1457969859 | Richmond Medical Group Inc | Nurse Practitioner | 1407 Mustang Lake Ct, Richmond, TX 77406-7961 | 2020-07-21 |
| 1093332744 | Patience I Nehikhuere | Nurse Practitioner | 7519 Misty Meadow Ct, Richmond, TX 77469-7322 | 2020-06-29 |
| 1275150252 | Ngozi Mba | Nurse Practitioner | 11335 Sandhaven Dr, Richmond, TX 77407-4534 | 2020-06-25 |
| Find all providers in RICHMOND | ||||
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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.