Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1497611446 Individual Practitioner Male Practitioner

Tanner Davidson

Registered Nurse • Provo, UT

Professional Overview & Biography Verified Profile Summary

Tanner Davidson is a registered healthcare professional specializing in Registered Nurse in Provo, UT. Practice services are available at 589 S STATE ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

589 S State St

Provo, UT 846065056

Telephone 8014292000
Fax 8014292001
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Registered Nurse in Provo, UT

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 3.0 Yrs
State Avg: 2.4 Yrs
Regional Practice Density
47 Specialists

Practicing in Provo, UT (1007 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2026-01-02
Registered Nurse Primary Specialty

NUCC Taxonomy Code: 163W00000X

State License 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.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

20 Associated Practitioners
Kelly Daly-Wolfe , PA-C, RDN

Physician Assistant - Medical

NPI 1003334525

Physician Assistant (Certified), Registered Dietitian Nutritionist

Robert Rowe

Physician Assistant

NPI 1023541208
Carlos Tita , RN, CDCES

Registered Nurse - Ambulatory Care

NPI 1093649857

Registered Nurse, Certified Diabetes Care and Education Specialist

Maria Villagrana , APRN

Nurse Practitioner - Family

NPI 1295347169

Advanced Practice Registered Nurse

Haley Parker , PA-C

Physician Assistant

NPI 1356710412

Physician Assistant (Certified)

Dr. Vernon White , MD

Family Medicine

NPI 1396765376

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active January 02, 2026

NPI status registered as active in NPPES database

📍
Updated Practice Location January 02, 2026

Registered at 589 S STATE ST, PROVO, UT 846065056 (Tel: 8014292000)

📍
Updated Business Mailing Address January 02, 2026

Registered at 589 S STATE ST, PROVO, UT 846065056 (Tel: 8014292000)

👤
Provider Name / Credentials Updated January 02, 2026

Recorded as TANNER DAVIDSON

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 02, 2026

Registered Nurse (License #139697313102 in UT)

🟢
Initial NPI Registration & Enumeration January 02, 2026

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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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

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.