DR. MIRIAM BLODGETT TATUM M.D.
NPI 1770682106
Pediatrics - Adolescent Medicine in Derby Line, VT

Q: What is Miriam Tatum's NPI number?

The NPI number for Miriam Tatum is 1770682106. It was assigned to this individual provider in the NPPES registry on September 22, 2006.

Q: What is Miriam Tatum's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Adolescent Medicine, with taxonomy code 2080A0000X.

Q: When was this NPI record last updated?

The NPPES record for Miriam Tatum was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.

Active since September 22, 2006

159 MAIN STREET, DERBY LINE, VT 05830(802) 873-3009 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 23, 2026.

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About Dr. Miriam Blodgett Tatum M.d. NPPES

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

DR. MIRIAM BLODGETT TATUM M.D. (NPI 1770682106) is an individual adolescent medicine provider in Derby Line, Vermont, licensed in Vermont (042-0008370) and active in the NPI registry since September 2006.

NPPES Registry Identity

NPI1770682106

Entity TypeIndividualFemale

Primary Taxonomy2080A0000X

Provider Legal NameDR. MIRIAM BLODGETT TATUMCredential: M.D.

Location Address159 MAIN STREETDerby Line, VT 05830

Mailing AddressPo Box 970, 159 Main StreetDerby Line, VT 05830-0970 · (802) 873-3009

Phone(802) 873-3009

Sole ProprietorNo

Enumeration DateSeptember 22, 2006

Last NPPES UpdateJuly 8, 2007

✔ NPI 1770682106 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Adolescent MedicineAllopathic & Osteopathic Physicians

Taxonomy Code2080A0000X

License✔ Licensed in VT · 042-0008370

Definition

A pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs.

159 MAIN STREET, Derby Line, VT 05830

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Other Identifiers 4

Other042-0008370VT · State License Number

Medicare ID-Type UnspecifiedVN0264VT

Medicare UPINE13695VT

Medicaid0VN0264VT

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 Miriam Tatum's NPI number?

The NPI number for Miriam Tatum is 1770682106. It was assigned to this individual provider in the NPPES registry on September 22, 2006.

Where is Miriam Tatum located?

Miriam Tatum practices at 159 Main Street, Derby Line, VT 05830. The listed phone number is (802) 873-3009.

What is Miriam Tatum's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Adolescent Medicine, with taxonomy code 2080A0000X.

When was this NPI record last updated?

The NPPES record for Miriam Tatum was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.