KATIE CAMILLE TAYON NPI 1912612375

NPI Information

  • NPI: 1912612375
  • Provider Name: KATIE CAMILLE TAYON
  • Classification: Nurse Practitioner - 363LP2300X
  • Specialization: Primary Care
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 220 MILLPOND STE 100
    STANSBURY PARK, UT
    ZIP 84074
  • Phone: (435) 843-3072

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NPI Details

Katie Camille Tayon is a primary care nurse practitioner in Stansbury Park, UT with 3 years of experience. Katie Camille Tayon NPI is 1912612375. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

220 MILLPOND STE 100
STANSBURY PARK, UT
ZIP 84074-760
Phone: (435) 843-3072
Fax: (435) 843-3050

The NPI 1912612375 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 1/19/2023 and was last updated on 11/20/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363LF0000XNurse PractitionerFamily9902215-4405UTAHNo
2363LP2300XNurse PractitionerPrimary Care9902215-4405UTAHYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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