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Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

KOKO TIATIA
NPI 1790699189
Student in an Organized Health Care Education/Training Program in Eagle Mountain, UT

Active since October 01, 2026
4066 E SUNBURY LN, EAGLE MOUNTAIN, UT 84005(801) 361-8399 Get Directions Write a Review

NPPES record added: October 1, 2026. Verified against the NPPES registry weekly; last sync: October 04, 2026.

About Koko Tiatia NPPES

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

KOKO TIATIA (NPI 1790699189) is an individual student in an organized health care education/training program in Eagle Mountain, Utah, licensed in Utah (13389615-3102) and active in the NPI registry since October 2026.

NPPES Registry Identity

NPI1790699189
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameKOKO TIATIA
Location Address4066 E SUNBURY LNEagle Mountain, UT 84005-6333
Mailing Address4066 E Sunbury LnEagle Mountain, UT 84005-6333 · (801) 361-8399
Phone(801) 361-8399
Sole ProprietorYes
Enumeration DateOctober 1, 2026
NPPES CertifiedOctober 1, 2026
✔ NPI 1790699189 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
License✔ Licensed in UT · 13389615-3102
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
4066 E SUNBURY LN, Eagle Mountain, UT 84005
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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 Koko Tiatia's NPI number?

The NPI number for Koko Tiatia is 1790699189. It was assigned to this individual provider in the NPPES registry on October 1, 2026.

Where is Koko Tiatia located?

Koko Tiatia practices at 4066 E Sunbury Ln, Eagle Mountain, UT 84005. The listed phone number is (801) 361-8399.

What is Koko Tiatia's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Koko Tiatia was last updated on October 1, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 days 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.