Tyler James Waite, RN

Primary specialty

Critical Care Medicine Registered NurseTaxonomy code 163WC0200X

License

4971758 Issued in ID

Practice address

50 N Medical Dr
Salt Lake City, UT 84132-0001

Phone

(801) 581-2121

NPI assigned

Nov 3, 2026

Last updated

Nov 3, 2026By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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

{
    "created_epoch": "1793664000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1793664000000",
    "number": "1194624510",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1647 E 2000 N",
            "city": "LEHI",
            "state": "UT",
            "postal_code": "840432729",
            "telephone_number": "509-995-9632"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 N MEDICAL DR",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841320001",
            "telephone_number": "801-581-2121"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WAITE",
        "first_name": "TYLER",
        "middle_name": "JAMES",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2026-11-03",
        "last_updated": "2026-11-03",
        "certification_date": "2026-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WC0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Critical Care Medicine",
            "state": "ID",
            "license": "4971758",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stacy A Wahl, OTR/L
• Jessica Ann Wahlen
• Donna M. Wahoff-Stice, APRN, FNP
• Lisa Hartshorn Waite
• Mercedes Alyssa Waite
• Samuel Jackson Waites
• Adriel Wakefield
• Ariel Rose Wakeham
• Wal-Mart Stores, Inc (Vision Center 30-5350)
• Wal-Mart Stores, Inc (Vision Center 30-3589)

• Critical Care Medicine Registered Nurse in Salt Lake City, UT
• Providers in Salt Lake City, UT by specialty
• Critical Care Medicine Registered Nurse in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.