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MS. AUDREY RENEE TATUM
NPI 1164317178
Student in an Organized Health Care Education/Training Program in Tulsa, OK

Active since June 10, 2025
1111 W 17TH ST, TULSA, OK 74107(918) 884-8341 Get Directions Write a Review

NPPES record last updated: June 10, 2025. Verified against the NPPES registry weekly; last sync: October 04, 2026.

About Ms. Audrey Renee Tatum NPPES

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

MS. AUDREY RENEE TATUM (NPI 1164317178) is an individual student in an organized health care education/training program in Tulsa, Oklahoma and active in the NPI registry since June 2025.

NPPES Registry Identity

NPI1164317178
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameMS. AUDREY RENEE TATUM
Location Address1111 W 17TH STTulsa, OK 74107-1886
Mailing Address3280 S 205th East PlBroken Arrow, OK 74014-5169 · (918) 884-8341
Phone(918) 884-8341
Sole ProprietorYes
Enumeration DateJune 10, 2025
NPPES CertifiedJune 10, 2025
✔ NPI 1164317178 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.
1111 W 17TH ST, Tulsa, OK 74107
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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.

GRAHAM NATHAN JAMEISON MAT, ATC
Student in an Organized Health Care Education/Training Program
1111 W 17TH ST
TULSA, OK 74107
Tulsa County (918) 237-2828
MARIYA BOBEN
Student in an Organized Health Care Education/Training Program
1111 W 17TH ST
TULSA, OK 74107
Tulsa County (918) 582-1972
KARLYN TANZEY
Student in an Organized Health Care Education/Training Program
1111 W 17TH ST
TULSA, OK 74107
Tulsa County (918) 582-1972
KAYLEY ANTHAMATTEN
Student in an Organized Health Care Education/Training Program
1111 W 17TH ST
TULSA, OK 74107
Tulsa County (918) 582-1972
CHASE YAGER
Student in an Organized Health Care Education/Training Program
1111 W 17TH ST
TULSA, OK 74107
Tulsa County (405) 613-1540
MACKENZIE LYNN HATTABAUGH
Student in an Organized Health Care Education/Training Program
1111 W 17TH ST
TULSA, OK 74107
Tulsa County (918) 582-1972
ASHLEE EASTMAN
Student in an Organized Health Care Education/Training Program
1111 W 17TH ST
TULSA, OK 74107
Tulsa County (918) 805-1752
DAVID ROBERT WAXMAN
Student in an Organized Health Care Education/Training Program
1111 W 17TH ST
TULSA, OK 74107
Tulsa County (918) 582-1972

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 Audrey Tatum's NPI number?

The NPI number for Audrey Tatum is 1164317178. It was assigned to this individual provider in the NPPES registry on June 10, 2025.

Where is Audrey Tatum located?

Audrey Tatum practices at 1111 W 17th St, Tulsa, OK 74107. The listed phone number is (918) 884-8341.

What is Audrey Tatum's specialty?

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

When was this NPI record last updated?

The NPPES record for Audrey Tatum was last updated on June 10, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 months 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.