KAYLA DIANE TATUM
NPI 1205669694
Student in an Organized Health Care Education/Training Program in Orlando, FL

Active since August 22, 2024
52 UNDERWOOD ST, ORLANDO, FL 32806(321) 841-5243 Get Directions Write a Review

NPPES record last updated: April 14, 2026. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Apr 14, 2026, Aug 22, 2024 (2 updates tracked since 2024).

About Kayla Diane Tatum NPPES

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

KAYLA DIANE TATUM (NPI 1205669694) is an individual student in an organized health care education/training program in Orlando, Florida and active in the NPI registry since August 2024.

NPPES Registry Identity

NPI1205669694
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameKAYLA DIANE TATUM
Location Address52 UNDERWOOD STOrlando, FL 32806-1110
Mailing Address1335 Sligh BlvdOrlando, FL 32806-3901 · (321) 841-5243 · Fax (407) 649-6896
Sole ProprietorYes
Enumeration DateAugust 22, 2024
Last NPPES UpdateApril 14, 20262 updates tracked since enumeration
NPPES CertifiedApril 14, 2026
NPI 1205669694 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

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.

52 UNDERWOOD ST, Orlando, FL 32806

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.

Nurse Practitioner (Adult Health)
52 UNDERWOOD ST
ORLANDO, FL 32806
Nurse Anesthetist, Certified Registered
52 UNDERWOOD ST
ORLANDO, FL 32806
Student in an Organized Health Care Education/Training Program
52 UNDERWOOD ST
ORLANDO, FL 32806
Nurse Practitioner (Adult Health)
52 UNDERWOOD ST
ORLANDO, FL 32806
Student in an Organized Health Care Education/Training Program
52 UNDERWOOD ST
ORLANDO, FL 32806
Internal Medicine
52 UNDERWOOD ST
ORLANDO, FL 32806
Student in an Organized Health Care Education/Training Program
52 UNDERWOOD ST
ORLANDO, FL 32806
Student in an Organized Health Care Education/Training Program
52 UNDERWOOD ST
ORLANDO, FL 32806

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1205669694, enumerated as an "individual" on August 22, 2024.

The provider is located at 52 UNDERWOOD ST ORLANDO, FL 32806 and the phone number is (321) 841-5243.

Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.