Timothy Jared Black

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

8535186-4405 Issued in UT

Practice address

3742 W 2150 N
Lehi, UT 84048-7801

Phone

(385) 220-6257

NPI assigned

Apr 27, 2026

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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

• Vitalcare Health Services PC

  • Urgent Care Clinic/Center
  • Lehi, UT
  • NPI 1235954389
  NPD (past)

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

{
    "created_epoch": "1777248000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1777248000000",
    "number": "1821934241",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3288 E WHEAT FIELD LN",
            "city": "EAGLE MOUNTAIN",
            "state": "UT",
            "postal_code": "840055527",
            "telephone_number": "801-636-4913"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3742 W 2150 N",
            "city": "LEHI",
            "state": "UT",
            "postal_code": "840487801",
            "telephone_number": "385-220-6257"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3288 E Wheat Field Ln",
            "address_purpose": "LOCATION",
            "city": "Eagle Mountain",
            "state": "UT",
            "postal_code": "840055527",
            "country_code": "US",
            "telephone_number": "801-636-4913",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BLACK",
        "first_name": "TIMOTHY",
        "middle_name": "JARED",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2026-04-27",
        "last_updated": "2026-04-27",
        "certification_date": "2026-04-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "UT",
            "license": "8535186-4405",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Birthing Your Way, LLC
• Brindie Allan Bishop, CPM
• Black Shirt Services
• Nathan Black, LCSW
• Spencer Evan Black, MD
• Steven Phillips Blackhurst, DDS
• Faith Blair, CSW
• Rebecca Blessing-Matzke
• Brandon Kenneth Bliss, DPT
• Marlee Blomquist

• Family Nurse Practitioner in Lehi, UT
• Providers in Lehi, UT by specialty
• Family Nurse Practitioner in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.