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NPI Code Detail

MEDICARE: TARA LYNNE KABAT APRN

MEDICARE: TARA LYNNE KABAT APRN
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LA2100XAcute Care Nurse PractitionerAPRN11044291FL
2363LA2200XAdult Health Nurse PractitionerAPRN11044291FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1790630408
Entity Type Code : Individual
Provider Name (Legal Business Name) : TARA LYNNE KABAT APRN
Provider Business Mailing Address
First Line : PO BOX 2147
Second Line :
City : FORT MYERS
State : FL
Zip : 33902-2147
Country : US
Telephone Number : 239-343-2052
Fax Number : 239-343-4186
Provider Business Practice Location Address
First Line : 636 DEL PRADO BLVD S
Second Line :
City : CAPE CORAL
State : FL
Zip : 33990-2668
Country : US
Telephone Number : 239-424-2000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/27/2026
Last Update Date : 06/05/2026

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Directions to “ TARA LYNNE KABAT APRN” Practice Location

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