Kassidee Candice Tapia

Primary specialty

Community Health WorkerTaxonomy code 172V00000X

Practice address

1726 S Buckley LN
Provo, UT 84606-5031

Phone

(801) 373-6562

NPI assigned

Dec 27, 2024

Reactivated

Sep 25, 2026

Sex

Female

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

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

{
    "created_epoch": "1735257600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1790294400000",
    "number": "1851109417",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "857 E 200 S",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841022317"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1726 S BUCKLEY LN",
            "city": "PROVO",
            "state": "UT",
            "postal_code": "846065031",
            "telephone_number": "801-373-6562"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAPIA",
        "first_name": "KASSIDEE",
        "middle_name": "CANDICE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-12-27",
        "last_updated": "2026-09-25",
        "certification_date": "2024-12-27",
        "deactivation_date": "2025-11-07",
        "reactivation_date": "2026-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172V00000X",
            "taxonomy_group": "",
            "desc": "Community Health Worker",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dillon Rees Tanner, PMHNP
• Leslie Michelle Tanner, APRN
• Matthew Alan Tanner
• Tanra Therapy
• Sharon J Tapahe
• Lauren Tarbet, LCSW
• Brooke Tate
• Cierra Nicole Tate, MDA, RDN, CD
• Joshua Bain Tate
• James Tatton, MD

• Community Health Worker in Provo, UT
• Providers in Provo, UT by specialty
• Community Health Worker in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.