Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

KASHAWN L TATUM LPN
NPI 1003721002
Licensed Practical Nurse in Bay Shore, NY

Q: What is Kashawn Tatum's NPI number?

The NPI number for Kashawn Tatum is 1003721002. It was assigned to this individual provider in the NPPES registry on August 17, 2026.

Q: What is Kashawn Tatum's specialty?

The primary specialty registered for this NPI is Licensed Practical Nurse with taxonomy code 164W00000X.

Q: When was this NPI record last updated?

The NPPES record for Kashawn Tatum was last updated on August 17, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 days 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 August 17, 2026

PO BOX 1045, BAY SHORE, NY 11706(631) 469-1678 Get Directions Write a Review

NPPES record added: August 17, 2026. Verified against the NPPES registry weekly; last sync: August 30, 2026.

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About Kashawn L Tatum Lpn NPPES

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

KASHAWN L TATUM LPN (NPI 1003721002) is an individual licensed practical nurse in Bay Shore, New York, licensed in New York (357528) and active in the NPI registry since August 2026.

NPPES Registry Identity

NPI1003721002

Entity TypeIndividualFemale

Primary Taxonomy164W00000X

Provider Legal NameKASHAWN L TATUMCredential: LPN

Location AddressPO BOX 1045Bay Shore, NY 11706-0533

Mailing AddressPo Box 1045Bay Shore, NY 11706-0533 · (631) 469-1678

Phone(631) 469-1678

Sole ProprietorYes

Enumeration DateAugust 17, 2026

NPPES CertifiedAugust 15, 2026

✔ NPI 1003721002 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyLicensed Practical NurseNursing Service Providers

Taxonomy Code164W00000X

License✔ Licensed in NY · 357528

Definition

A licensed practical nurse with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

PO BOX 1045, Bay Shore, NY 11706

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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 Kashawn Tatum's NPI number?

The NPI number for Kashawn Tatum is 1003721002. It was assigned to this individual provider in the NPPES registry on August 17, 2026.

Where is Kashawn Tatum located?

Kashawn Tatum practices at PO Box 1045, Bay Shore, NY 11706. The listed phone number is (631) 469-1678.

What is Kashawn Tatum's specialty?

The primary specialty registered for this NPI is Licensed Practical Nurse with taxonomy code 164W00000X.

When was this NPI record last updated?

The NPPES record for Kashawn Tatum was last updated on August 17, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 days 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.