Aouliulifolau Mele Tavita, LPN

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

7524698-3101 Issued in UT

Practice address

714 S State St
Orem, UT 84058-6366

Phone

(801) 666-4792

NPI assigned

Jun 7, 2021

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1623024000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623024000000",
    "number": "1487221685",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "320 E CENTER ST",
            "city": "PROVO",
            "state": "UT",
            "postal_code": "846063204",
            "telephone_number": "951-283-4679"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "714 S STATE ST",
            "city": "OREM",
            "state": "UT",
            "postal_code": "840586366",
            "telephone_number": "801-666-4792"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAVITA",
        "first_name": "AOULIULIFOLAU",
        "middle_name": "MELE",
        "credential": "LPN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-06-07",
        "last_updated": "2021-06-07",
        "certification_date": "2021-06-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "UT",
            "license": "7524698-3101",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kirstin Tanner
• Mary Tanner, NP
• Michelle Tanner, CRT
• Scott Mason Tanner
• Savannah Taosoga
• Alexandra N Taylor
• Ashlee Taylor, ATC
• Aubrey Louise Taylor, PA-C
• Audrey Taylor
• Catherine Taylor

• Licensed Practical Nurse in Orem, UT
• Providers in Orem, UT by specialty
• Licensed Practical Nurse in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2021; 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.