LEILANI TATUM NP
NPI 1497460992
Nurse Practitioner - Pediatrics in Fort Worth, TX

Active since January 18, 2023
1650 W ROSEDALE ST, FORT WORTH, TX 76104(469) 333-1543 Get Directions Write a Review

NPPES record last updated: January 18, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Leilani Tatum Np NPPES

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

LEILANI TATUM NP (NPI 1497460992) is an individual pediatrics provider in Fort Worth, Texas, licensed in Texas (1107543) and active in the NPI registry since January 2023. She maintains a secondary practice location in Richardson.

NPPES Registry Identity

NPI1497460992
Entity TypeIndividualFemale
Primary Taxonomy363LP0200X
Provider Legal NameLEILANI TATUMCredential: NP
Location Address1650 W ROSEDALE STFort Worth, TX 76104-7400
Mailing Address310 Fort Edward DrArlington, TX 76002-4498 · (682) 270-4448
Sole ProprietorNo
Enumeration DateJanuary 18, 2023
NPPES CertifiedJanuary 18, 2023
NPI 1497460992 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · PediatricsPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0200X
License Licensed in TX · 1107543
1650 W ROSEDALE ST, Fort Worth, TX 76104

Secondary Practice Location 1

Location 13600 Shire Blvd Ste 110Richardson, TX 75082-2236 · Phone (469) 333-1543

Other Providers at the Same Location NPPES 15

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Ophthalmology
1650 W ROSEDALE ST, SUITE 202
FORT WORTH, TX 76104
Internal Medicine (Gastroenterology)
1650 W ROSEDALE ST, SUITE 302
FORT WORTH, TX 76104
Internal Medicine (Medical Oncology)
1650 W ROSEDALE ST, STE 300
FORT WORTH, TX 76104
Internal Medicine (Cardiovascular Disease)
1650 W ROSEDALE ST, SUITE 200
FORT WORTH, TX 76104
Clinic/Center (Medical Specialty)
1650 W ROSEDALE ST, SUITE 206
FORT WORTH, TX 76104
Internal Medicine (Nephrology)
1650 W ROSEDALE ST, SUITE 103
FORT WORTH, TX 76104
Clinic/Center (Medical Specialty)
1650 W ROSEDALE ST, SUITE 206
FORT WORTH, TX 76104
Speech-Language Pathologist
1650 W ROSEDALE ST
FORT WORTH, TX 76104

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 Leilani Tatum's NPI number?

The NPI number for Leilani Tatum is 1497460992. It was assigned to this individual provider in the NPPES registry on January 18, 2023.

Where is Leilani Tatum located?

Leilani Tatum practices at 1650 W Rosedale St, Fort Worth, TX 76104. The listed phone number is (469) 333-1543.

What is Leilani Tatum's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.

When was this NPI record last updated?

The NPPES record for Leilani Tatum was last updated on January 18, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years 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.