Shalea Tallis
Community Health Worker in Taylorsville, UT. Individual provider (NPI-1).
NPI number1235948266
StatusActive
Last updated in NPPESJan 3, 2025
Details
- NPI
- 1235948266
- Entity type
- Individual (NPI-1)
- Name
- Shalea Tallis
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jan 3, 2025
- Certification date
- Jan 3, 2025
- Last updated
- Jan 3, 2025
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 172V00000X | Community Health Worker | – | UT | Yes |
Practice location
3809 W 6200 STaylorsville, UT 84129-3725
Phone 888-949-4864
Mailing address
3725 W 4100 S Ste 201West Valley City, UT 84120-5411
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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All 42 Community Health Worker providers in Taylorsville · All 3,083 providers in Taylorsville
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