Courtland Tapp

Primary specialty

CounselorTaxonomy code 101Y00000X

License

13429088-6009 Issued in UT

Practice address

1425 S 700 E Unit 102
Salt Lake City, UT 84105-2125

Phone

(385) 313-0055

NPI assigned

Aug 9, 2024

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

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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

• Red Willow Iop, PLLC

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Salt Lake City, UT
  • NPI 1477189900
  NPD

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

{
    "created_epoch": "1723161600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723161600000",
    "number": "1750112058",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1425 S 700 E",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841052125",
            "telephone_number": "385-313-0055"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1425 S 700 E UNIT 102",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841052125",
            "telephone_number": "385-313-0055"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAPP",
        "first_name": "COURTLAND",
        "name_prefix": "Mr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-08-09",
        "last_updated": "2024-08-09",
        "certification_date": "2024-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "UT",
            "license": "13429088-6009",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Katelyn Tansock, DPT
• Srinivas Kiran Tantravahi, MD
• Fawad Tanvir, MD
• Karen Tao, PHD
• Samuel Tapia
• David Michael Tapp
• Leah Marie Tapp
• Cristina Tappan
• Christopher John Tappel, PSYD
• Trudy S Tapu

• Counselor in Salt Lake City, UT
• Providers in Salt Lake City, UT by specialty
• Counselor in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2024; 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.