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Kimberly Tatum is one of 637 nurse practitioners practicing in Tyler, Texas .
Kimberly Tatum practices with Tyler Family Circle Of Care.
Registry record (NPPES)
NPI
1518479542
Type
Type 1 · Individual
Primary taxonomy
Nurse Practitioner, Family · 363LF0000X
Address on file
4002 S Loop 256 Ste A Palestine, TX 75801-8492 (903) 731-5030
Enumerated
Oct 31, 2017
Record last updated
Oct 21, 2024
License states listed
TX
Medicare (CMS)
Enrollment
Medicare-enrolled in TN, TXNurse Practitioner
Revalidation due
No date set by CMS
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Part D prescribing
Procedure volumes by CPT code
Group affiliations and colleagues
Full enrollment history
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Practice locations
13172 State Hwy 64 E
Tyler , TX 75707
(903) 606-2212
214 E Houston St
Tyler , TX 75702
(903) 535-9041
1001 N Palestine St
Athens , TX 75751
(903) 535-9041
More nurse practitioners in Tyler
Updated August 2026. Practice locations and specialty come from the CMS Doctors and Clinicians file, the registry record from NPPES, and enrollment from CMS Medicare enrollment files. NPI records are corrected at the source, through NPPES.
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