KYRA JESSICA NICOLE TITO
NPI 1346960390
Student in an Organized Health Care Education/Training Program in Marietta, GA
About Kyra Jessica Nicole Tito NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KYRA JESSICA NICOLE TITO (NPI 1346960390) is an individual student in an organized health care education/training program in Marietta, Georgia and active in the NPI registry since August 2022. She is enrolled in Medicare PECOS and maintains a secondary practice location in Atlanta.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Kyra Jessica Nicole Tito is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
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.
MARIETTA, GA 30060
MARIETTA, GA 30060
MARIETTA, GA 30060
MARIETTA, GA 30060
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 Kyra Tito's NPI number?
The NPI number for Kyra Tito is 1346960390. It was assigned to this individual provider in the NPPES registry on August 30, 2022.
Where is Kyra Tito located?
Kyra Tito practices at 677 Church St NE, Marietta, GA 30060. The listed phone number is (770) 793-5000.
What is Kyra Tito's specialty?
The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.
Is Kyra Tito enrolled in Medicare?
Yes. Kyra Tito is registered in the Medicare PECOS enrollment system.
When was this NPI record last updated?
The NPPES record for Kyra Tito was last updated on March 26, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.
# Kyra Jessica Nicole Tito · NPI 1346960390
Student in an Organized Health Care Education/Training Program provider in Marietta, Georgia. Individual provider, active in the CMS NPPES registry since August 30, 2022.
## Identity
- **NPI:** 1346960390 (Entity type: Individual)
- **Enumerated:** August 30, 2022
- **Primary specialty:** Student in an Organized Health Care Education/Training Program · taxonomy 390200000X
- **Sole proprietor:** No
## Practice location
- **Address:** 677 CHURCH ST NE, Marietta, GA 30060-1101
- **Phone:** (770) 793-5000
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
## Record status
- **NPPES last updated:** March 26, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1346960390) · Data from the CMS NPPES public registry.