SHAMIS TATE FNP
NPI 1447891676
Nurse Practitioner - Family in Taylorsville, UT

Active since September 29, 2019
6575 S REDWOOD RD STE 350, TAYLORSVILLE, UT 84123(801) 618-4688 Get Directions Write a Review

NPPES record last updated: September 29, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Shamis Tate Fnp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SHAMIS TATE FNP (NPI 1447891676) is an individual family provider in Taylorsville, Utah, licensed in Utah (9311052-4405) and active in the NPI registry since September 2019. She maintains a secondary practice location in Salt Lake City.

NPPES Registry Identity

NPI1447891676
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameSHAMIS TATECredential: FNP
Location Address6575 S REDWOOD RD STE 350Taylorsville, UT 84123-5693
Mailing Address6575 S Redwood Rd Ste 350Taylorsville, UT 84123-5693 · (801) 618-4688
Sole ProprietorYes
Enumeration DateSeptember 29, 2019
NPI 1447891676 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in UT · 9311052-4405
6575 S REDWOOD RD STE 350, Taylorsville, UT 84123

Secondary Practice Location 1

Location 1426 S 1000 E Apt 603Salt Lake City, UT 84102-3047 · Phone (708) 945-2575

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Practitioner (Family)
6575 S REDWOOD RD STE 350
TAYLORSVILLE, UT 84123

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Shamis Tate's NPI number?

The NPI number for Shamis Tate is 1447891676. It was assigned to this individual provider in the NPPES registry on September 29, 2019.

Where is Shamis Tate located?

Shamis Tate practices at 6575 S Redwood Rd Ste 350, Taylorsville, UT 84123. The listed phone number is (801) 618-4688.

What is Shamis Tate's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Shamis Tate was last updated on September 29, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.