Active NPI
Meghan Lynn Liebum, NP
- Family Nurse Practitioner
- Fort Worth, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- AP134803
- Practice address
- 4480 Bryant Irvin Rd
Fort Worth, TX 76132-1064 - Phone
- (682) 212-9160
- NPI assigned
- Jul 12, 2016
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | RN2295968 | MA | |
| Family Nurse Practitioner | 363LF0000X | AP134803 | TX | Primary |
Addresses
Primary practice location
4480 Bryant Irvin Rd
Fort Worth, TX 76132-1064
Mailing address
5937 Donnelly Ave
Fort Worth, TX 76107-5811
Phone (281) 799-2725
Other practice location 1
55 Lake Ave N
Department of Emergency Medicine
Worcester, MA 01655-0002
Phone (508) 421-1400
Other practice location 2
5937 Donnelly Ave
Fort Worth, TX 76107-5811
Phone (281) 799-2725
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 110118086A | Medicaid | MA |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | mliebum2080921@direct.texashealth.org | Health Information Exchange (HIE) |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
612 E Lamar Blvd
Arlington, TX 76011-4121
Phone (866) 416-6687
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Texas Health Urgent Care | Family | Current | Accepting new patients |
| Texas Health Urgent Care | Current | Accepting new patients | |
| Texas Health Urgent Care | Current | Accepting new patients | |
| Integrative Emergency Services Physician Group PA | Current | Accepting new patients | |
| Texas Health Urgent Care | Current | Accepting new patients |
Locations
612 E Lamar Blvd
Arlington, TX 76011
Phone (682) 236-5770
6411 E Northwest Hwy
Dallas, TX 75231
Phone (469) 495-9110
5937 Donnelly Ave
Fort Worth, TX 76107
Phone (469) 495-9142
4480 Bryant Irvin Rd
Fort Worth, TX 76132
Phone (361) 222-9020
1500 S Main St
Ft Worth, TX 76104
Phone (817) 921-3431
1575 S Main St
Ft Worth, TX 76104
Phone (817) 702-8828
125 Davis Blvd
Southlake, TX 76092
Phone (682) 212-9104
Interoperability endpoints
- mliebum2080921@direct.texashealth.org
Organizations & group practices 5
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.
-
- Emergency Medicine Physician
- Fort Worth, TX
- NPI 1285922542
-
- Urgent Care Clinic/Center
- Dallas, TX
- NPI 1104431527
-
- Urgent Care Clinic/Center
- Allen, TX
- NPI 1629724315
-
- Urgent Care Clinic/Center
- McKinney, TX
- NPI 1972118388
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1468281600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1754611200000",
"number": "1063864239",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5937 DONNELLY AVE",
"city": "FORT WORTH",
"state": "TX",
"postal_code": "761075811",
"telephone_number": "281-799-2725"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4480 BRYANT IRVIN RD",
"city": "FORT WORTH",
"state": "TX",
"postal_code": "761321064",
"telephone_number": "682-212-9160"
}
],
"practiceLocations": [
{
"address_1": "55 Lake Ave N",
"address_2": "Department of Emergency Medicine",
"address_purpose": "LOCATION",
"city": "Worcester",
"state": "MA",
"postal_code": "016550002",
"country_code": "US",
"telephone_number": "508-421-1400",
"fax_number": "508-421-1490",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "5937 Donnelly Ave",
"address_purpose": "LOCATION",
"city": "Fort Worth",
"state": "TX",
"postal_code": "761075811",
"country_code": "US",
"telephone_number": "281-799-2725",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LIEBUM",
"first_name": "MEGHAN",
"middle_name": "LYNN",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-07-12",
"last_updated": "2025-08-08",
"certification_date": "2025-08-08",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "MA",
"license": "RN2295968",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "TX",
"license": "AP134803",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "110118086A",
"state": "MA"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "mliebum2080921@direct.texashealth.org",
"affiliation": "N",
"endpointDescription": "Health Information Exchange (HIE)",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"address_1": "5937 Donnelly Ave",
"city": "Fort Worth",
"state": "TX",
"country_code": "US",
"postal_code": "761075811",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Fort Worth, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.