Healthcare Provider Details

I. General information

NPI: 1447191218
Provider Name (Legal Business Name): TAIREI LAUPAPA CASEMANAGER
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/03/2026
Last Update Date: 04/03/2026
Certification Date: 04/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

265 N STATE ST
MT PLEASANT UT
84647-1108
US

IV. Provider business mailing address

65 W 600 S
MT PLEASANT UT
84647-1902
US

V. Phone/Fax

Practice location:
  • Phone: 435-813-8796
  • Fax: 435-271-3035
Mailing address:
  • Phone: 435-813-8796
  • Fax: 435-271-3035

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171M00000X
TaxonomyCase Manager/Care Coordinator
License NumberF25-117549
License Number StateUT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: