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TAVIA MARIE VITAL RN, CDE
NPI 1508145756
Registered Nurse - Diabetes Educator in Rock Island, IL

Active since August 05, 2011
2560 24TH ST, SUITE 102, ROCK ISLAND, IL 61201(309) 788-0014(309) 793-3092 Get Directions Write a Review

NPPES record last updated: August 5, 2011. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Tavia Marie Vital Rn, Cde NPPES

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

TAVIA MARIE VITAL RN, CDE (NPI 1508145756) is an individual diabetes educator provider in Rock Island, Illinois, licensed in Illinois (041390337) and active in the NPI registry since August 2011.

NPPES Registry Identity

NPI1508145756
Entity TypeIndividualFemale
Primary Taxonomy163WD0400X
Provider Legal NameTAVIA MARIE VITALCredential: RN, CDE
Location Address2560 24TH ST, SUITE 102Rock Island, IL 61201-5357
Mailing Address2560 24th St, Suite 102Rock Island, IL 61201-5357 · (309) 788-0014 · Fax (309) 793-3092
Phone(309) 788-0014
Fax(309) 793-3092
Sole ProprietorNo
Enumeration DateAugust 5, 2011
✔ NPI 1508145756 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRegistered Nurse · Diabetes EducatorNursing Service Providers
Taxonomy Code163WD0400X
License✔ Licensed in IL · 041390337
2560 24TH ST, Rock Island, IL 61201
Open in Google Maps ↗

Other Providers at the Same Location NPPES 8

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

MR. M HASSAN DIAB MD
Internal Medicine (Hematology & Oncology)
2560 24TH ST, SUITE 201
ROCK ISLAND, IL 61201
Rock Island County (309) 779-7491
DR. LAKSHMI L ALAPATI MD
Internal Medicine (Endocrinology, Diabetes & Metabolism)
2560 24TH ST, SUITE 201
ROCK ISLAND, IL 61201
Rock Island County (309) 779-4100
PATRICK C CUNNINGHAM MD
Family Medicine
2560 24TH ST, STE 202
ROCK ISLAND, IL 61201
Rock Island County (309) 786-3395
MRS. LYNNDA JEAN GARRETT APMHNP
Nurse Practitioner (Psychiatric/Mental Health)
2560 24TH ST, STE 101
ROCK ISLAND, IL 61201
Rock Island County (951) 212-0475
JANICE E LEVSEN FNP
Nurse Practitioner (Family)
2560 24TH ST, SUITE 202
ROCK ISLAND, IL 61201
Rock Island County (309) 281-2800
STEVEN A RAY MD
Internal Medicine
2560 24TH ST, STE 202
ROCK ISLAND, IL 61201
Rock Island County (309) 794-0590
M. HASSAN DIAB, M.D., S.C.
Internal Medicine (Hematology & Oncology)
2560 24TH ST, SUITE 201
ROCK ISLAND, IL 61201
Rock Island County (309) 779-7491
GENESIS HEALTH SYSTEM
Family Medicine
2560 24TH ST, SUITE 202
ROCK ISLAND, IL 61201
Rock Island County (309) 786-3395

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 Tavia Vital's NPI number?

The NPI number for Tavia Vital is 1508145756. It was assigned to this individual provider in the NPPES registry on August 5, 2011.

Where is Tavia Vital located?

Tavia Vital practices at 2560 24th St Suite 102, Rock Island, IL 61201. The listed phone number is (309) 788-0014.

What is Tavia Vital's specialty?

The primary specialty registered for this NPI is Registered Nurse, specializing in Diabetes Educator, with taxonomy code 163WD0400X.

When was this NPI record last updated?

The NPPES record for Tavia Vital was last updated on August 5, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.