IndividualActive
Tracy Lavelle
NPI 1174379820 · Registered Nurse · Salt Lake City, UT
Provider details
- NPI number
- 1174379820
- Entity type
- Individual
- Primary specialty
- Registered NurseNursing Service Providers
- Sex
- Female
- Sole proprietor
- No
- License
- 13029077-3102 (UT)
Specialties & taxonomies
Nursing Service Providers
Profile Score
Established profile(56/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
2 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1020 S Main St
Salt Lake City, UT 84101-3176
Phone: (801) 273-6366
Street-level locationGet directions
Mailing address
3725 W 4100 S Ste 201
West Valley City, UT 84120-5427
Registry dates
- Enumerated
- 2024-04-24
- Last updated
- 2024-04-24
- Certified
- 2024-04-17
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.