Individual provider Active NPI

Tierney Kalila Araujo

  • Specialist
  • Herriman, UT
National Provider Identifier
1245765130
Registry record updated Apr 27, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Practice address
13947 S Newburg Dr
Herriman, UT 84096-6787
Phone
(801) 506-6695
NPI assigned
Apr 27, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 27, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X Primary

Addresses

Primary practice location

13947 S Newburg Dr
Herriman, UT 84096-6787

Mailing address

13947 S Newburg Dr
Herriman, UT 84096-6787
Phone (801) 506-6695

Other names 1

  • Tierney Kalila Smith Former name

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

NPI Registry JSON

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

{
    "created_epoch": "1493251200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1493251200000",
    "number": "1245765130",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13947 S NEWBURG DR",
            "city": "HERRIMAN",
            "state": "UT",
            "postal_code": "840966787",
            "telephone_number": "801-506-6695"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13947 S NEWBURG DR",
            "city": "HERRIMAN",
            "state": "UT",
            "postal_code": "840966787",
            "telephone_number": "801-506-6695"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ARAUJO",
        "first_name": "TIERNEY",
        "middle_name": "KALILA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-04-27",
        "last_updated": "2017-04-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TIERNEY",
            "last_name": "SMITH",
            "middle_name": "KALILA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Herriman, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2017; 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.