Shamis Tate, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

9311052-4405 Issued in UT

Practice address

6575 S Redwood Rd Ste 350
Taylorsville, UT 84123-5693

Phone

(801) 618-4688

NPI assigned

Sep 29, 2019

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. Confirm with the OIG exclusions search.

State licenses

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

{
    "created_epoch": "1569715200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1569715200000",
    "number": "1447891676",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6575 S REDWOOD RD STE 350",
            "city": "TAYLORSVILLE",
            "state": "UT",
            "postal_code": "841235693",
            "telephone_number": "801-618-4688"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6575 S REDWOOD RD STE 350",
            "city": "TAYLORSVILLE",
            "state": "UT",
            "postal_code": "841235693",
            "telephone_number": "801-618-4688"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "426 S 1000 E Apt 603",
            "address_purpose": "LOCATION",
            "city": "Salt Lake City",
            "state": "UT",
            "postal_code": "841023047",
            "country_code": "US",
            "telephone_number": "708-945-2575",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TATE",
        "first_name": "SHAMIS",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-09-29",
        "last_updated": "2019-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "UT",
            "license": "9311052-4405",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "state@truehealthslc.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "6575 S Redwood Rd Ste 350",
            "city": "Taylorsville",
            "state": "UT",
            "country_code": "US",
            "postal_code": "841235693",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Joshua T Tandy, JD
• Haley Tanne
• Tawni Tanner
• Pita Tanuvasa
• Joel Tapia
• Taylor Nathan Tate, DDS
• Helene Mary Taylor, SLP
• Jeffrey Taylor
• Ruben Taylor
• Ryqail Taylor

• Family Nurse Practitioner in Taylorsville, UT
• Providers in Taylorsville, UT by specialty
• Family Nurse Practitioner in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.