Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Tavia Marie Vital, RN, CDE

Individual provider Diabetes Educator Registered Nurse · NPI 1508145756

Tavia Marie Vital, RN, CDE is a Diabetes Educator Registered Nurse in Rock Island, Illinois. Licensed in Illinois. Registered with an NPI since 2011.

Licensed in
IL
In the registry since
2011
What do these letters mean?
RN — Registered Nurse
A licensed nurse who completed a nursing degree and passed the NCLEX-RN examination.
CDE — Certified Diabetes Educator
Teaches people to manage diabetes day to day.

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Practice location Address checks out

2560 24th St Ste 102
Rock Island, IL 61201-5357
Phone: (309) 788-0014
Fax: (309) 793-3092
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Diabetes Educator Registered Nurse (primary) Taxonomy 163WD0400X · Licence 041390337 (IL)

Record details

NPI number1508145756
Entity typeIndividual (Type 1)
GenderFemale
Credentials RN , CDE
Sole proprietorNo
NPI enumeratedAugust 5, 2011
Last updated in NPPESAugust 5, 2011