SONYA B TATUM (NPI# 1760755433) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760755433 |
| Entity Type | Individual |
| Full Name | SONYA B TATUM |
| Credential | CRNP |
| Practice Address |
239 Mitylene Park Dr Montgomery AL 36117-3547 |
| Practice Telephone | 3348198190 |
| Practice Fax Number | 3348198195 |
| Mailing Telephone | 3348198190 |
| Mailing Fax Number | 3348198195 |
| Enumeration Date | 2012-02-10 |
| Last Update Date | 2012-05-25 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
1-073852 | AL | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
239 MITYLENE PARK DR |
| City | MONTGOMERY |
| State | AL |
| Zip Code | 36117-3547 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891766762 | Pediatric Specialists of Montgomery, L.L.C. | Pediatrics | 239 Mitylene Park Dr, Montgomery, AL 36117-3547 | 2006-01-30 |
| 1265467237 | William Ryan Mcwhorter | Family Medicine | 239 Mitylene Park Dr, Montgomery, AL 36117-3547 | 2006-07-11 |
| 1205861200 | Ryan Mcwhorter Md LLC | Family Medicine | 239 Mitylene Park Dr, Montgomery, AL 36117-3547 | 2006-07-11 |
| 1245206804 | Gerardo Sixto Gonzalez | Specialist | 239 Mitylene Park Dr, Montgomery, AL 36117-3547 | 2006-02-24 |
| 1285605055 | Barton B Cook | Pediatrics | 239 Mitylene Park Dr, Montgomery, AL 36117-3547 | 2006-01-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568061307 | Bhg Lxxiii, LLC | Clinic/Center | 1714 Platt Place, Montgomery, AL 36117 | 2020-10-22 |
| 1952945602 | East Montgomery Pediatrics LLC | Pediatrics | 337 St Lukes Drive, Montgomery, AL 36117 | 2019-11-05 |
| 1417421496 | Tiffany Webb | Specialist | 411 Twain Curve, E, Montgomey, AL 36117 | 2019-01-14 |
| 1013485374 | Montgomery Orthodontic Specialists | Dentist | 5833 Carmichael Road, Montgomery, AL 36117 | 2018-11-05 |
| 1770050791 | Blair Henderson Parks | Speech-Language Pathologist | 7088 University Court, Montgomery, AL 36117 | 2018-10-29 |
| 1629557822 | Evelyn F Crayton | Dietitian, Registered | 124 Elm Dr, Montgomery, AL 36117 | 2018-08-08 |
| 1194203414 | Coopers Mental Healh Consultations | Psychologist | 8743 Ridgestone Ct, Montgomery, AL 36117 | 2018-07-30 |
| 1063912301 | Gardenia Cove Mental Health PC | Psychiatry & Neurology | 6771 Taylor Circle, Montgomery, AL 36117 | 2018-02-13 |
| 1760900294 | Montgomery Auburn Homecare LLC | In Home Supportive Care | 2569 Bell Rd, Montgomery, AL 36117 | 2017-09-05 |
| 1336667120 | Alyssa Bryanna Swisher | Chiropractor | 2026 Berryhill Road, Montgomery, AL 36117 | 2017-09-01 |
| Find all providers in zip 36117 | ||||
| Taxonomy Code | 363LA2200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Adult Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063735413 | Advance Health Providers LLC | Nurse Practitioner | 2460 Hanbury Ln, Montgomery, IL 60538-5049 | 2010-03-12 |
| 1194322271 | Ryan Shannon | Nurse Practitioner | 1722 Pine St Ste 700, Montgomery, AL 36106-1125 | 2020-10-02 |
| 1053805473 | Jolisa Watson | Nurse Practitioner | 1845 Cherry St, Montgomery, AL 36107-2613 | 2018-06-19 |
| 1265976005 | Tracey England | Nurse Practitioner | 2100 Chestnut St, Montgomery, AL 36106-1113 | 2016-12-13 |
| 1841733045 | Angela Floyd | Nurse Practitioner | 1725 Pine St, Montgomery, AL 36106-1109 | 2016-11-21 |
| 1053867945 | Jessica Rollins | Nurse Practitioner | 1845 Cherry St, Montgomery, AL 36107-2613 | 2016-08-30 |
| 1063897635 | Shawona Cannon Daniel | Nurse Practitioner | 2034 Chestnut St, Montgomery, AL 36106-1111 | 2015-07-24 |
| 1861876252 | The Center for Pain of Montgomery PC | Nurse Practitioner | 2065 E South Blvd Ste 401, Montgomery, AL 36116-2462 | 2015-07-15 |
| 1033532874 | Holly Yates Vezertzis | Nurse Practitioner | 2055 E South Blvd, Suite 308, Montgomery, AL 36116-2001 | 2014-01-30 |
| 1861827669 | Lilian Ifeoma Akwuba | Nurse Practitioner | 128 Mitylene Park Ln, Montgomery, AL 36117-3758 | 2013-09-11 |
| Find all providers in MONTGOMERY | ||||
| City | MONTGOMERY |
| Zip Code | 36117 |
Please comment or provide details below to improve the information on SONYA B 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.