VITALITY HEALTH OF UTAH LLC
NPI 1255191672
Nurse Practitioner - Primary Care in Lehi, UT

Active since March 21, 2024CLIA 46D2343304 · Waiver
641 WEST 1290 NORTH, LEHI, UT 84043(801) 796-2678 Get Directions Write a Review

NPPES record last updated: December 17, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Dec 17, 2025, Apr 22, 2024 (2 updates tracked since 2024).

About Vitality Health Of Utah Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

VITALITY HEALTH OF UTAH LLC (NPI 1255191672) is a healthcare organization registered as a primary care in Lehi, Utah and active in the NPI registry since March 2024. The organization holds a CLIA Waiver certificate valid through May 4, 2028, maintains a secondary practice location in Sandy, and lists Shelley Hale-byington, Authorized Official, as its authorized official.

NPPES Registry Identity

NPI1255191672
Entity TypeOrganization
Primary Taxonomy363LP2300X
Legal Business NameVITALITY HEALTH OF UTAH LLC
Location Address641 WEST 1290 NORTHLehi, UT 84043-2327
Mailing Address641 W 1290 NLehi, UT 84043-2327 · (801) 796-2678 · Fax (801) 877-5583
Organization SubpartNo
Authorized OfficialShelley Hale-byingtonAuthorized Official · (801) 796-2678
Enumeration DateMarch 21, 2024
Last NPPES UpdateDecember 17, 20252 updates tracked since enumeration
NPPES CertifiedDecember 17, 2025
✔ NPI 1255191672 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Primary CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP2300X
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X
641 WEST 1290 NORTH, Lehi, UT 84043

Secondary Practice Location 1

Location 150 E 9000 S Ste 1Sandy, UT 84070-2201 · Phone (801) 796-2678 · Fax (801) 877-5583

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Vitality Health Of Utah Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

8

Medicare enrollment records show 8 clinicians reassign Medicare billing to Vitality Health Of Utah LLC, which bills Medicare for the services they deliver. Of these, 6 practice at this address and 7 within 10 miles. They are listed nearest first.

Clinicians, nearest first (8)

Nurse Practitioner
NPI 1841050028
641 WEST 1290 NORTH
Lehi, UT 84043
(801) 796-2678
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1093503336
641 WEST 1290 NORTH
Lehi, UT 84043
(801) 796-2678
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1649755349
641 WEST 1290 NORTH
Lehi, UT 84043
(801) 796-2678
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1033062757
641 W 1290 N
Lehi, UT 84043
(801) 796-2678
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1609717834
641 W 1290 N
Lehi, UT 84043
(801) 796-2678
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1124997903
641 W 1290 N
Lehi, UT 84043
(801) 796-2678
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1144817446
3051 W MAPLE LOOP DR STE 210
Lehi, UT 84048
(801) 872-5516
✔ PECOS✔ Accepts Medicare2.0 mi
Nurse Practitioner
NPI 1598648479
166 E 5900 S STE B109
Murray, UT 84107
(385) 275-4673
✔ PECOS✔ Accepts Medicare17 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 46D2343304

Vitality Health Of Utah · Sandy, UT
Active · expires May 4, 2028
CLIA Number46D2343304
Laboratory TypePhysician Office
Certificate Effective DateMay 5, 2026
Certificate Expiration DateMay 4, 2028
Laboratory DirectorMichelle Hale-Byington
Laboratory Phone(801) 796-2678
Laboratory LocationVitality Health Of Utah50 East 9000 South, Sandy, UT 84094
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Vitality Health Of Utah LLC's NPI number?

The NPI number for Vitality Health Of Utah LLC is 1255191672. It was assigned to this organization in the NPPES registry on March 21, 2024.

Where is Vitality Health Of Utah LLC located?

Vitality Health Of Utah LLC is located at 641 West 1290 North, Lehi, UT 84043. The listed phone number is (801) 796-2678.

What is Vitality Health Of Utah LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Primary Care, with taxonomy code 363LP2300X.

Is Vitality Health Of Utah LLC enrolled in Medicare?

Yes. Vitality Health Of Utah LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Vitality Health Of Utah LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 8 clinicians, all in Nurse Practitioner, reassign their Medicare billing to Vitality Health Of Utah LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 6 practice at this address and 7 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Vitality Health Of Utah LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 46D2343304) is associated with this NPI, valid through May 4, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Vitality Health Of Utah LLC accept?

Health plans from Molina Healthcare and University of Utah Health Plans list Vitality Health Of Utah LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Vitality Health Of Utah LLC was last updated on December 17, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.