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Tanner Davidson

Registered Nurse • Provo, UT

Active NPI 1497611446 Individual Practitioner Male Practitioner
Practice location in NPPES

589 S State St
Provo, UT 846065056

Call 8014292000 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

589 S State St

Provo, UT 846065056

Telephone 8014292000
Fax 8014292001
Organization at the Same NPPES Address or Phone
Mountainlands Community Health Center, Inc Facility NPI 1427075134

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

NPI first issued

2026

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, “Does your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Compared with the same specialty in Provo and Utah

46 active clinicians are listed under Registered Nurse with a practice address in Provo, UT (991 in Utah).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Provo

0% of these 46 clinicians have the CMS telehealth indicator.

4.3% of these 46 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo · Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2026-01-02
Registered Nurse Primary Specialty

NUCC Taxonomy Code: 163W00000X

License # reported to NPPES UT 139697313102

(1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.'s assist patient in recovering and maintaining their physical or mental health. They assist physicians during treatments and examinations and administer medications. (2) A provider who is trained and educated in a formal nursing education program at an accredited school of nursing, passes a national certification examination, and is licensed by the state to practice nursing. The individual provides nursing services to patients or clients in areas such as health promotion, disease prevention, acute and chronic care and restoration and maintenance of health across the life span.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Utah Division of Professional Licensing.
Look Up on State Board Site

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

14 listed
Dr. Pahl Bench , MD

Family Medicine

NPI 1588877674

Doctor of Medicine (M.D.)

NPI 1942464078

Doctor of Dental Medicine

Kelly Daly-Wolfe , PA-C, RDN

Physician Assistant - Medical

NPI 1003334525

Physician Assistant (Certified), Registered Dietitian Nutritionist

NPI 1639539521
NPI 1952491557

Doctor of Medicine (M.D.)

Stacy Garnica , NP-C

Nurse Practitioner - Family

NPI 1902151954

Nurse Practitioner (Certified)

Career & Practice History

NPI enumerated January 02, 2026.

No changes to the name, practice address, taxonomy or NPI status in this record have been observed in the monthly NPPES data files from January 2026 to August 2026.

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NPI Administrative Meta

NPI Number: 1497611446
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 02, 2026
Last Update: January 02, 2026
Sole Proprietor: No

Mailing Address

589 S State St

Provo, UT 846065056

Phone: 8014292000

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.