CATHERINE R BLACK
NPI 1366623191
Nurse Practitioner - Family in Provo, UT

Active since November 20, 2007
280 RIVER PARK DR, SUITE 200, PROVO, UT 84604(801) 223-4860(801) 371-8993 Get Directions Write a Review

NPPES record last updated: March 21, 2014. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Catherine R Black NPPES

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

CATHERINE R BLACK (NPI 1366623191) is an individual family provider in Provo, Utah, licensed in Utah (198805-4405) and active in the NPI registry since November 2007.

NPPES Registry Identity

NPI1366623191
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameCATHERINE R BLACK
Location Address280 RIVER PARK DR, SUITE 200Provo, UT 84604-5764
Mailing Address280 River Park Dr, #200Provo, UT 84604-5764 · (801) 223-4860 · Fax (801) 371-8993
Fax(801) 371-8993
Sole ProprietorNo
Enumeration DateNovember 20, 2007
Last NPPES UpdateMarch 21, 2014
NPI 1366623191 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in UT · 198805-4405
280 RIVER PARK DR, Provo, UT 84604

Other Providers at the Same Location NPPES 16

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Anesthesiology
280 RIVER PARK DR, #200
PROVO, UT 84604
Ophthalmology
280 RIVER PARK DR, SUITE 220
PROVO, UT 84604
Clinic/Center (Ambulatory Surgical)
280 RIVER PARK DR, SUITE 200
PROVO, UT 84604
Massage Therapist
280 RIVER PARK DR, SUITE 240
PROVO, UT 84604
Ophthalmology
280 RIVER PARK DR, SUITE 220
PROVO, UT 84604
Surgery (Plastic and Reconstructive Surgery)
280 RIVER PARK DR, STE 240
PROVO, UT 84604
Physical Therapist
280 RIVER PARK DR, #350
PROVO, UT 84604
Clinic/Center (Primary Care)
280 RIVER PARK DR
PROVO, UT 84604

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 Catherine Black's NPI number?

The NPI number for Catherine Black is 1366623191. It was assigned to this individual provider in the NPPES registry on November 20, 2007.

Where is Catherine Black located?

Catherine Black practices at 280 River Park Dr Suite 200, Provo, UT 84604. The listed phone number is (801) 223-4860.

What is Catherine Black's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Catherine Black was last updated on March 21, 2014. NPI Profile syncs with the weekly NPPES data releases published by CMS.