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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
Phone(321) 841-5243
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

★ 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.

52 UNDERWOOD ST, Orlando, FL 32806
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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.

HERMAN BRACE DERESMA APRN
Nurse Practitioner (Adult Health)
52 UNDERWOOD ST
ORLANDO, FL 32806
Orange County (321) 841-8727
KC MAX TERVIL
Nurse Anesthetist, Certified Registered
52 UNDERWOOD ST
ORLANDO, FL 32806
Orange County (321) 841-5210
ALEXANDREA KRISTINA GOTTFRIED MD
Student in an Organized Health Care Education/Training Program
52 UNDERWOOD ST
ORLANDO, FL 32806
Orange County (321) 841-5145
MS. ANDRENA PATRICE WRIGHT APRN
Nurse Practitioner (Adult Health)
52 UNDERWOOD ST
ORLANDO, FL 32806
Orange County (321) 841-3581
MIKHAIL AHMED MD
Student in an Organized Health Care Education/Training Program
52 UNDERWOOD ST
ORLANDO, FL 32806
Orange County (321) 841-5145
DR. MICHELLE ANN HERNANDEZ DO
Internal Medicine
52 UNDERWOOD ST
ORLANDO, FL 32806
Orange County (321) 841-3581
ZAIM KHAN MD
Student in an Organized Health Care Education/Training Program
52 UNDERWOOD ST
ORLANDO, FL 32806
Orange County (321) 841-5145
SARAH CROWDER DO
Student in an Organized Health Care Education/Training Program
52 UNDERWOOD ST
ORLANDO, FL 32806
Orange County (321) 841-5145

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 Kayla Tatum's NPI number?

The NPI number for Kayla Tatum is 1205669694. It was assigned to this individual provider in the NPPES registry on August 22, 2024.

Where is Kayla Tatum located?

Kayla Tatum practices at 52 Underwood St, Orlando, FL 32806. The listed phone number is (321) 841-5243.

What is Kayla 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 Kayla Tatum was last updated on April 14, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.