Individual provider Active NPI

Tatsiana Khavuliak

  • Women's Health Clinical Nurse Specialist
  • Tampa, FL
National Provider Identifier
1255261863
Registry record updated May 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Women's Health Clinical Nurse SpecialistTaxonomy code 364SW0102X
License
RN96000622 Issued in FL
Practice address
7728 Palm River Rd
Tampa, FL 33619-4215
Phone
(813) 653-6100
NPI assigned
May 23, 2026
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 23, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Women's Health Clinical Nurse Specialist 364SW0102X RN96000622 FL Primary

Addresses

Primary practice location

7728 Palm River Rd
Tampa, FL 33619-4215

Mailing address

13436 White Elk Loop
Tampa, FL 33626-2328
Phone (813) 362-1650

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
RN96000622FLMDWomen's Health Clinical Nurse Specialist

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1779494400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779494400000",
    "number": "1255261863",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13436 WHITE ELK LOOP",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336262328",
            "telephone_number": "813-362-1650"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7728 PALM RIVER RD",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336194215",
            "telephone_number": "813-653-6100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHAVULIAK",
        "first_name": "TATSIANA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-05-23",
        "last_updated": "2026-05-23",
        "certification_date": "2026-05-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "364SW0102X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Women's Health",
            "state": "FL",
            "license": "RN96000622",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tampa, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.