TYLER KELLETT
NPI 1740982008
Student in an Organized Health Care Education/Training Program in Brandon, FL

Active since March 20, 2023PECOS Enrolled
119 OAKFIELD DR, BRANDON, FL 33511(732) 245-2500 Get Directions Write a Review

NPPES record last updated: March 20, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Tyler Kellett NPPES

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

TYLER KELLETT (NPI 1740982008) is an individual student in an organized health care education/training program in Brandon, Florida and active in the NPI registry since March 2023. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1740982008
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameTYLER KELLETT
Location Address119 OAKFIELD DRBrandon, FL 33511-5779
Mailing Address121 Willowleaf DrLittleton, CO 80127-3571 · (720) 226-4836
Sole ProprietorNo
Enumeration DateMarch 20, 2023
NPPES CertifiedMarch 20, 2023
NPI 1740982008 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.
119 OAKFIELD DR, Brandon, FL 33511

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Tyler Kellett is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

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.

Internal Medicine
119 OAKFIELD DR
BRANDON, FL 33511
Anesthesiologist Assistant
119 OAKFIELD DR
BRANDON, FL 33511
Nurse Practitioner
119 OAKFIELD DR
BRANDON, FL 33511
Student in an Organized Health Care Education/Training Program
119 OAKFIELD DR
BRANDON, FL 33511
Emergency Medicine
119 OAKFIELD DR
BRANDON, FL 33511
Physician Assistant (Medical)
119 OAKFIELD DR
BRANDON, FL 33511
Emergency Medicine
119 OAKFIELD DR
BRANDON, FL 33511
Emergency Medicine
119 OAKFIELD DR
BRANDON, FL 33511

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 Kellett's NPI number?

The NPI number for Tyler Kellett is 1740982008. It was assigned to this individual provider in the NPPES registry on March 20, 2023.

Where is Tyler Kellett located?

Tyler Kellett practices at 119 Oakfield Dr, Brandon, FL 33511. The listed phone number is (732) 245-2500.

What is Tyler Kellett's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Tyler Kellett enrolled in Medicare?

Yes. Tyler Kellett is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Tyler Kellett was last updated on March 20, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.