Individual provider Active NPI

Taelor Hildebrand, FNP

  • Family Nurse Practitioner
  • Lehi, UT
National Provider Identifier
1174465793
Registry record updated May 26, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
12104004-4405 Issued in UT
Practice address
2183 W Main St Ste A107
Lehi, UT 84043-6761
Phone
(385) 203-1215
Fax
(801) 655-5217
NPI assigned
Apr 6, 2026
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 26, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 12104004-4405 UT Primary

Addresses

Primary practice location

2183 W Main St Ste A107
Lehi, UT 84043-6761

Mailing address

138 E 12300 S Unit 871
Draper, UT 84020-7976
Phone (801) 921-0828

Other names 1

  • Taelor Griffith Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in UT
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260608002834 UT Practitioner - Nurse Practitioner 5395216691 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Roseman Univ of HLTH Sciences, Col of Dental Med, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Revere Health PCGroup PAC ID 7517868508, 407 clinicians

Practice addresses (Care Compare)

2183 W Main St
Suite A107
Lehi, UT 84043-6761
Phone (801) 418-0810

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
12104004-4405UTMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Revere Health PC CurrentSince May 26, 2026 Accepting new patients
Revere Health PC PastSince May 26, 2026 Accepting new patients

Locations

2183 W Main St
Ste A107
Lehi, UT 84043
Phone (385) 203-1215

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1775433600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779753600000",
    "number": "1174465793",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "138 E 12300 S UNIT 871",
            "city": "DRAPER",
            "state": "UT",
            "postal_code": "840207976",
            "telephone_number": "801-921-0828"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2183 W MAIN ST STE A107",
            "city": "LEHI",
            "state": "UT",
            "postal_code": "840436761",
            "telephone_number": "385-203-1215",
            "fax_number": "801-655-5217"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HILDEBRAND",
        "first_name": "TAELOR",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-04-06",
        "last_updated": "2026-05-26",
        "certification_date": "2026-05-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "UT",
            "license": "12104004-4405",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TAELOR",
            "last_name": "GRIFFITH",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Lehi, UT

Sources for this page

Verify at the official NPI Registry.