1. Home
  2. Directory
  3. Arkansas
  4. Mabelvale
  5. Case Manager Care Coordinator
  6. NPI Profile

JOHNDREA TATUM
NPI 1659738607
Case Manager/Care Coordinator in Mabelvale, AR

Active since January 21, 2016
10600 TRAIN STATION DR, MABELVALE, AR 72103(501) 753-8400(501) 753-8401 Get Directions Write a Review

NPPES record last updated: July 20, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 20, 2020, Jan 21, 2016 (2 updates tracked since 2016).

About Johndrea Tatum NPPES

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

JOHNDREA TATUM (NPI 1659738607) is an individual case manager/care coordinator provider in Mabelvale, Arkansas and active in the NPI registry since January 2016.

NPPES Registry Identity

NPI1659738607
Entity TypeIndividualFemale
Primary Taxonomy171M00000X
Provider Legal NameJOHNDREA TATUM
Location Address10600 TRAIN STATION DRMabelvale, AR 72103-1644
Mailing Address829 Halbert StMalvern, AR 72104-2607 · (501) 332-4400 · Fax (501) 332-4403
Phone(501) 753-8400
Fax(501) 753-8401
Sole ProprietorNo
Enumeration DateJanuary 21, 2016
Last NPPES UpdateJuly 20, 20202 updates tracked since enumeration
NPPES CertifiedJuly 20, 2020
✔ NPI 1659738607 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCase Manager/Care CoordinatorOther Service Providers
Taxonomy Code171M00000X
Definition
A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee's progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management.
10600 TRAIN STATION DR, Mabelvale, AR 72103
Open in Google Maps ↗

Other Providers at the Same Location NPPES 5

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

SHALETTA WILLIAMSON
Case Manager/Care Coordinator
10600 TRAIN STATION DR
MABELVALE, AR 72103
Pulaski County (501) 753-8400
KIZMET JOHNSON
Social Worker
10600 TRAIN STATION DR
MABELVALE, AR 72103
Pulaski County (501) 753-8400
FARANDA MARSHALL
Case Manager/Care Coordinator
10600 TRAIN STATION DR
MABELVALE, AR 72103
Pulaski County (501) 753-8400
LEONA M COLSON CCC
Speech-Language Pathologist
10600 TRAIN STATION DR
MABELVALE, AR 72103
Pulaski County (501) 909-1638
CASEY CARTER LPC
Counselor (Mental Health)
10600 TRAIN STATION DR
MABELVALE, AR 72103
Pulaski County (501) 753-8400

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 Johndrea Tatum's NPI number?

The NPI number for Johndrea Tatum is 1659738607. It was assigned to this individual provider in the NPPES registry on January 21, 2016.

Where is Johndrea Tatum located?

Johndrea Tatum practices at 10600 Train Station Dr, Mabelvale, AR 72103. The listed phone number is (501) 753-8400.

What is Johndrea Tatum's specialty?

The primary specialty registered for this NPI is Case Manager/Care Coordinator with taxonomy code 171M00000X.

When was this NPI record last updated?

The NPPES record for Johndrea Tatum was last updated on July 20, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.