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KIMBERLY ANNE TATUM N.P. NPI 1366704488

NPI Profile

NPI: 1366704488

Provider Name: KIMBERLY ANNE TATUM, N.P.

Classification: Nurse Practitioner - 363L00000X

Entity Type: Individual

PECOS Registration: Yes

Address:
1941 NEW GARDEN RD
SUITE 216
GREENSBORO, NC
ZIP 27410

Phone: (336) 288-8857

Kimberly Anne Tatum, N.P. is a nurse practitioner in Greensboro, NC. The provider is (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. Kimberly Anne Tatum, N.P. NPI is 1366704488. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1941 NEW GARDEN RD
SUITE 216
GREENSBORO, NC
ZIP 27410-554
Phone: (336) 288-8857
Fax: (336) 288-8769

The NPI 1366704488 is registered in the Medicare Provider, Enrollment, Chain and Ownership System PECOS.

The enumeration date for this NPI number is 6/14/2012 and was last updated on 9/10/2014.

Map - Location of Practice

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1 363L00000X Nurse Practitioner 5005656 NORTH CAROLINA Yes
2 363LF0000X Nurse Practitioner Family 5005656 NORTH CAROLINA No

What is NPI?
NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 8/11/2015