TIMOTHY JARED BLACK
NPI 1821934241
Nurse Practitioner - Family in Lehi, UT

Active since April 27, 2026

NPPES record last updated: April 27, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Timothy Jared Black NPPES

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

TIMOTHY JARED BLACK (NPI 1821934241) is an individual family provider in Lehi, Utah, licensed in Utah (8535186-4405) and active in the NPI registry since April 2026. He maintains a secondary practice location in Eagle Mountain.

NPPES Registry Identity

NPI1821934241
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameTIMOTHY JARED BLACK
Location Address3742 W 2150 NLehi, UT 84048-7801
Mailing Address3288 E Wheat Field LnEagle Mountain, UT 84005-5527 · (801) 636-4913
Sole ProprietorNo
Enumeration DateApril 27, 2026
NPPES CertifiedApril 27, 2026
NPI 1821934241 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 · 8535186-4405
3742 W 2150 N, Lehi, UT 84048

Secondary Practice Location 1

Location 13288 E Wheat Field LnEagle Mountain, UT 84005-5527 · Phone (801) 636-4913

Other Providers at the Same Location NPPES

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

Chiropractor
3742 W 2150 N
LEHI, UT 84048

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 Timothy Black's NPI number?

The NPI number for Timothy Black is 1821934241. It was assigned to this individual provider in the NPPES registry on April 27, 2026.

Where is Timothy Black located?

Timothy Black practices at 3742 W 2150 N, Lehi, UT 84048. The listed phone number is (385) 220-6257.

What is Timothy 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 Timothy Black was last updated on April 27, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.