MS. DIANE M. TATUM (NPI# 1932221918) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1932221918 |
| Entity Type | Individual |
| Full Name | MS. DIANE M. TATUM |
| Credential | M.A., L.M.H.C. |
| Practice Address |
5701 Ne Bothell Way Ste 2a Kenmore WA 98028-9400 |
| Mailing Address |
2830 Nw 72nd St Seattle WA 98117-6251 |
| Practice Telephone | 2067551954 |
| Mailing Telephone | 2067551954 |
| Enumeration Date | 2007-04-03 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
LH00010946 | WA | Behavioral Health & Social Service Providers |
| Street Address |
5701 NE BOTHELL WAY STE 2A |
| City | KENMORE |
| State | WA |
| Zip Code | 98028-9400 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275131237 | Pacifica Kenmore LLC | Alzheimer Center (Dementia Center) | 7221 Ne 182nd Street, Kenmore, WA 98028 | 2020-10-13 |
| 1487173183 | Reiko Margarete Kobayashi-wagner | Dietitian, Registered | 17512 83rd Pl Ne, C304, Kenmore, WA 98028 | 2017-09-13 |
| 1356866776 | Matthew Vaughn | Specialist/Technologist | 6741 Ne 182nd St, Unit C313, Kenmore, WA 98028 | 2017-08-07 |
| 1619407467 | Suzanne Marie Gisch | Family Medicine | 18151 68th Ave Ne, Unit 219, Kenmore, WA 98028 | 2017-06-14 |
| 1063853018 | Vinai Prakash | Podiatrist | 6610 Ne 181st St Ste 4, Kenmore, WA 98028 | 2013-07-07 |
| 1760732580 | Benjamin Dorantes Dds Pllc | Dentist | 5710 Bothell Way Ne, Ste. 5, Kenmore, WA 98028 | 2012-09-19 |
| 1538491378 | Kellie A Cheever | Massage Therapist | 8846 Ne 160th Pl, Kenmore, WA 98028 | 2010-02-04 |
| 1275867855 | Mei-hsuan Ko | Dentist | 5723 Ne Bothell Way Ste C, Kenmore, WA 98028 | 2009-09-29 |
| 1659521912 | Wayne E Carr | Psychologist | 7800 N E Bothell Way, Suite 155 B, Kenmore, WA 98028 | 2008-09-23 |
| 1366625899 | Kevin Michael Smith | Chiropractor | 7249 Ne 171st Ln, Kenmore, WA 98028 | 2007-12-06 |
| Find all providers in zip 98028 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497274658 | Carol Ann Lindlow | Counselor | 7504 Ne Bothell Way, Kenmore, WA 98028-3554 | 2017-09-19 |
| 1154719334 | Tammy Westergaard | Counselor | 7000 Ne 186th Pl Apt 105, Kenmore, WA 98028-2143 | 2014-12-22 |
| 1770814386 | Nora Elizabeth Mcnally | Counselor | 100 Tremont Ave, Upper, Kenmore, NY 14217-2365 | 2010-01-21 |
| 1447454624 | Cedar Park Counseling Network | Counselor | 18737 68th Ave Ne, Kenmore, WA 98028-2606 | 2007-06-12 |
| 1417163247 | Teresa A Crawford | Counselor | 350 Shepard Ave, Kenmore, NY 14217-1829 | 2007-05-16 |
| 1760535827 | Victoria A Rotton | Counselor | 15004 70th Ave Ne, Kenmore, WA 98028 | 2007-01-19 |
| 1639247752 | David James Cudworth | Counselor | 14810 89th Pl Ne, Kenmore, WA 98028-4766 | 2006-11-30 |
| 1972131647 | David F Perfette | Counselor | 2495 Elmwood Ave, Kenmore, NY 14217-2222 | 2020-03-30 |
| 1851954580 | Diane E Young | Counselor | 262 Woodward Ave, Kenmore, NY 14217-1539 | 2019-04-18 |
| 1659897288 | Susan Santiago-turner | Counselor | 14500 Juanita Dr Ne, Kenmore, WA 98028-4966 | 2017-08-15 |
| Find all providers in KENMORE | ||||
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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.