Individual provider Active NPI

Gina Kay Manhart

  • Family Nurse Practitioner
  • South Jordan, UT
National Provider Identifier
1073231023
Registry record updated Dec 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
NUR-APRN-LIC-195947 Issued in MT
Practice address
489 W South Jordan Pkwy Ste 237
South Jordan, UT 84095-3979
Phone
(801) 871-5118
NPI assigned
Aug 16, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 9, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X NUR-APRN-LIC-195947 MT Primary
Nurse Practitioner 363L00000X 4792138900 UT

Addresses

Primary practice location

489 W South Jordan Pkwy Ste 237
South Jordan, UT 84095-3979

Mailing address

10380 S Redwood Rd
South Jordan, UT 84095-4414
Phone (701) 876-9044

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
4792138900UTMDNurse Practitioner
NUR-APRN-LIC-195947MTMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Connections Family Wellness CurrentSince Dec 14, 2025 Accepting new patients

Locations

1219 N 400 E
North Logan, UT 84341
Phone (435) 565-6043

489 W South Jordan Pkwy
Ste 237
South Jordan, UT 84095
Phone (385) 381-0327

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1660608000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765238400000",
    "number": "1073231023",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10380 S REDWOOD RD",
            "city": "SOUTH JORDAN",
            "state": "UT",
            "postal_code": "840954414",
            "telephone_number": "701-876-9044",
            "fax_number": "385-831-7980"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "489 W SOUTH JORDAN PKWY STE 237",
            "city": "SOUTH JORDAN",
            "state": "UT",
            "postal_code": "840953979",
            "telephone_number": "801-871-5118"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANHART",
        "first_name": "GINA",
        "middle_name": "KAY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-08-16",
        "last_updated": "2025-12-09",
        "certification_date": "2025-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MT",
            "license": "NUR-APRN-LIC-195947",
            "primary": true
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "UT",
            "license": "4792138900",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in South Jordan, UT

Sources for this page

Verify at the official NPI Registry.