NPIMap

Individual provider Active NPI

Tavia Mathers, A.P.R.N

  • Nurse Practitioner
  • Provo, UT
National Provider Identifier
1487802914
Registry record updated Sep 9, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
4738067-4408 Issued in UT
Practice address
3550 N University Ave Ste 250
Provo, UT 84604-6685
Phone
(801) 374-9625
Fax
(801) 374-9690
NPI assigned
Sep 9, 2008
Last updated
Sep 9, 2008By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 9, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 4738067-4408 UT Primary

Addresses

Primary practice location

3550 N University Ave Ste 250
Provo, UT 84604-6685

Mailing address

3550 N University Ave Ste 250
Provo, UT 84604-6685
Phone (801) 374-9625

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in UT
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090127000146 UT Practitioner - Nurse Practitioner 0345304945 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Ihc Health Services IncGroup PAC ID 1850209420, shared by 68 NPIs, 3,948 clinicians

Practice addresses (Care Compare)

170 N 1100
Afh Phys Billing
American Fork, UT 84003-2096
Phone (801) 855-3300

5169 S Cottonwood St
Suite 510
Murray, UT 84107-6767
Phone (801) 507-3513

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
4738067-4408UTMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Ihc Health Services, Inc. CurrentSince Jul 22, 2012 Accepting new patients
Ihc Health Services Inc Surgery Current Accepting new patients
Ihc Health Services Inc CurrentSince Mar 19, 2020 Accepting new patients
Ihc Health Services Inc Current Accepting new patients
Ihc Health Services Inc CurrentSince Jul 22, 2012 Accepting new patients
Ihc Health Services Inc Past Accepting new patients
Utah Weight Loss, LLC PastSince Sep 24, 2008 Accepting new patients

Locations

170 N 1100 E
American Fork, UT 84003
Phone (801) 714-6570

98 N 1100 E
Ste 302
American Fork, UT 84003
Phone (801) 492-2200

700 S Highway 99
Ste 3
Fillmore, UT 84631
Phone (435) 743-5555

1034 N 500 W
Provo, UT 84604
Phone (801) 362-4119

1055 N 300 W
Ste 302
Provo, UT 84604
Phone (801) 357-2534

395 W Cougar Blvd
Provo, UT 84604
Phone (801) 357-4141

5169 S Cottonwood St
Ste 510
Salt Lake City, UT 84107
Phone (801) 507-3584

1380 E Medical Center Dr
St George, UT 84790
Phone (435) 251-2992

1380 E Medical Center Dr
#P
St George, UT 84790
Phone (435) 251-2355

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1220918400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1220918400000",
    "number": "1487802914",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3550 N UNIVERSITY AVE STE 250",
            "city": "PROVO",
            "state": "UT",
            "postal_code": "846046685",
            "telephone_number": "801-374-9625",
            "fax_number": "801-374-9690"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3550 N UNIVERSITY AVE STE 250",
            "city": "PROVO",
            "state": "UT",
            "postal_code": "846046685",
            "telephone_number": "801-374-9625",
            "fax_number": "801-374-9690"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATHERS",
        "first_name": "TAVIA",
        "name_prefix": "Mrs.",
        "credential": "A.P.R.N",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-09-09",
        "last_updated": "2008-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "UT",
            "license": "4738067-4408",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Provo, UT

Sources for this page

Verify at the official NPI Registry.