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TYLER KETCHAM
NPI 1467396796
Student in an Organized Health Care Education/Training Program in Clearwater, FL

Active since April 16, 2026
14100 58TH ST N, CLEARWATER, FL 33760(515) 564-9370 Get Directions Write a Review

NPPES record last updated: April 16, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Tyler Ketcham NPPES

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

TYLER KETCHAM (NPI 1467396796) is an individual student in an organized health care education/training program in Clearwater, Florida and active in the NPI registry since April 2026.

NPPES Registry Identity

NPI1467396796
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameTYLER KETCHAM
Location Address14100 58TH ST NClearwater, FL 33760-9900
Mailing Address14100 58th St NClearwater, FL 33760-9900 · (727) 824-8181
Phone(515) 564-9370
Sole ProprietorYes
Enumeration DateApril 16, 2026
NPPES CertifiedApril 15, 2026
✔ NPI 1467396796 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.
14100 58TH ST N, Clearwater, FL 33760
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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.

ALYSSA BENSON
Nurse Practitioner (Family)
14100 58TH ST N
CLEARWATER, FL 33760
Pinellas County (727) 824-8181
DR. GAETANO FERNANDO PEREGO M.D
Obstetrics & Gynecology (Obstetrics)
14100 58TH ST N
CLEARWATER, FL 33760
Pinellas County (727) 824-8181
DR. JONATHAN MAI DO
General Practice
14100 58TH ST N
CLEARWATER, FL 33760
Pinellas County (727) 824-8181
SOLANGE MEFOTIEMGNE KWAM FNP-C
Nurse Practitioner (Family)
14100 58TH ST N
CLEARWATER, FL 33760
Pinellas County (727) 824-8181
DR. SETH A GRANT
Physical Therapist
14100 58TH ST N
CLEARWATER, FL 33760
Pinellas County (727) 824-8181
ERIN ANN ADAMSKI ARNP
Nurse Practitioner (Family)
14100 58TH ST N
CLEARWATER, FL 33760
Pinellas County (727) 824-8181
KELLY SINGLETON MSW LCSW
Social Worker (Clinical)
14100 58TH ST N
CLEARWATER, FL 33760
Pinellas County (727) 824-8181
DR. CATHERINE NWOKOLO
Pharmacist (Ambulatory Care)
14100 58TH ST N
CLEARWATER, FL 33760
Pinellas County (727) 824-8181

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 Tyler Ketcham's NPI number?

The NPI number for Tyler Ketcham is 1467396796. It was assigned to this individual provider in the NPPES registry on April 16, 2026.

Where is Tyler Ketcham located?

Tyler Ketcham practices at 14100 58th St N, Clearwater, FL 33760. The listed phone number is (515) 564-9370.

What is Tyler Ketcham'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 Tyler Ketcham was last updated on April 16, 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.