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TATUM WILSON
NPI 1407788557
Specialist in Saint Louis, MO

Active since June 02, 2026
3863 CLEVELAND AVE, SAINT LOUIS, MO 63110(314) 664-3927(314) 664-0556 Get Directions Write a Review

NPPES record last updated: June 2, 2026. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Tatum Wilson NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

TATUM WILSON (NPI 1407788557) is an individual specialist in Saint Louis, Missouri and active in the NPI registry since June 2026.

NPPES Registry Identity

NPI1407788557
Entity TypeIndividualFemale
Primary Taxonomy174400000X
Provider Legal NameTATUM WILSON
Location Address3863 CLEVELAND AVESaint Louis, MO 63110-4009
Mailing Address3863 Cleveland AveSaint Louis, MO 63110-4009 · (314) 664-3927 · Fax (314) 664-0556
Phone(314) 664-3927
Fax(314) 664-0556
Sole ProprietorNo
Enumeration DateJune 2, 2026
NPPES CertifiedJune 2, 2026
✔ NPI 1407788557 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
Definition

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

3863 CLEVELAND AVE, Saint Louis, MO 63110
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

QUINN TYMINSKI OTR/L
Occupational Therapist
3863 CLEVELAND AVE
SAINT LOUIS, MO 63110
St. Louis City (314) 664-3927
MR. STEVEN KENT SMITH LCSW
Social Worker (Clinical)
3863 CLEVELAND AVE
SAINT LOUIS, MO 63110
St. Louis City (314) 664-3927
REGANA HOLLIDAY
Licensed Practical Nurse
3863 CLEVELAND AVE
SAINT LOUIS, MO 63110
St. Louis City (314) 664-3927
INGRID RANSOM
Technician
3863 CLEVELAND AVE
SAINT LOUIS, MO 63110
St. Louis City (314) 664-3927
CARLA STANLEY
Technician
3863 CLEVELAND AVE
SAINT LOUIS, MO 63110
St. Louis City (314) 664-3927
DENISE FLEMING
Technician
3863 CLEVELAND AVE
SAINT LOUIS, MO 63110
St. Louis City (314) 664-3927
JACKIE WARD
Technician
3863 CLEVELAND AVE
SAINT LOUIS, MO 63110
St. Louis City (314) 664-3927
ALADELL WASHINGTON
Technician
3863 CLEVELAND AVE
SAINT LOUIS, MO 63110
St. Louis City (314) 664-3927

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Tatum Wilson's NPI number?

The NPI number for Tatum Wilson is 1407788557. It was assigned to this individual provider in the NPPES registry on June 2, 2026.

Where is Tatum Wilson located?

Tatum Wilson practices at 3863 Cleveland Ave, Saint Louis, MO 63110. The listed phone number is (314) 664-3927.

What is Tatum Wilson's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for Tatum Wilson was last updated on June 2, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.