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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

KATHERINE TARDIEL MD
NPI 1124720792
Student in an Organized Health Care Education/Training Program in Bradenton, FL

Active since March 20, 2023PECOS Enrolled
1505 53RD AVE E, BRADENTON, FL 34203(941) 357-7950 Get Directions Write a Review

NPPES record last updated: July 1, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Katherine Tardiel Md NPPES

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

KATHERINE TARDIEL MD (NPI 1124720792) is an individual student in an organized health care education/training program in Bradenton, Florida and active in the NPI registry since March 2023. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1124720792
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameKATHERINE TARDIELCredential: MD
Location Address1505 53RD AVE EBradenton, FL 34203-4249
Mailing Address1505 53rd Ave EBradenton, FL 34203-4249 · (941) 357-7950
Phone(941) 357-7950
Sole ProprietorYes
Enumeration DateMarch 20, 2023
Last NPPES UpdateJuly 1, 2026
NPPES CertifiedJuly 1, 2026
✔ NPI 1124720792 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
1505 53RD AVE E, Bradenton, FL 34203
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Katherine Tardiel Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 13

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

ASHLEY SEAL FNP
Nurse Practitioner (Family)
1505 53RD AVE E
BRADENTON, FL 34203
Manatee County (941) 357-7950
JAY PETER LAO NP
Nurse Practitioner (Gerontology)
1505 53RD AVE E
BRADENTON, FL 34203
Manatee County (941) 357-7950
BENEDICTA OLAMIDE UDEAGBALA D.O.
Family Medicine
1505 53RD AVE E
BRADENTON, FL 34203
Manatee County (941) 357-7950
DR. GUSTAVO A PRADA M.D.
Family Medicine
1505 53RD AVE E
BRADENTON, FL 34203
Manatee County (941) 357-7950
MR. DEREK JOHN HILTZ DO
Family Medicine
1505 53RD AVE E
BRADENTON, FL 34203
Manatee County (941) 357-7950
DR. MARISSEL VELAZQUEZ VICENTE MD
Internal Medicine
1505 53RD AVE E
BRADENTON, FL 34203
Manatee County (941) 357-7950
HECTOR JULIO DE LOS SANTOS HERNANDEZ MD
Internal Medicine
1505 53RD AVE E
BRADENTON, FL 34203
Manatee County (941) 357-7950
DR. ANTONIO VINLUAN MD
Internal Medicine
1505 53RD AVE E
BRADENTON, FL 34203
Manatee County (941) 357-7950

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 Katherine Tardiel's NPI number?

The NPI number for Katherine Tardiel is 1124720792. It was assigned to this individual provider in the NPPES registry on March 20, 2023.

Where is Katherine Tardiel located?

Katherine Tardiel practices at 1505 53rd Ave E, Bradenton, FL 34203. The listed phone number is (941) 357-7950.

What is Katherine Tardiel's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Katherine Tardiel enrolled in Medicare?

Yes. Katherine Tardiel is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Katherine Tardiel was last updated on July 1, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 41 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.