Individual provider Active NPI

Meagen Leanne Liebhardt, MSN, APRN, FNP-C

  • Nurse Practitioner
  • South Jordan, UT
National Provider Identifier
1396558060
Registry record updated Mar 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
11443777-4405 Issued in UT
Practice address
10433 S Redwood Rd
South Jordan, UT 84095-8502
Phone
(801) 501-0500
Fax
(801) 253-0696
NPI assigned
Jan 28, 2025
Last updated
Mar 19, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 19, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 114437774405 UT
Nurse Practitioner 363L00000X 11443777-4405 UT Primary

Addresses

Primary practice location

10433 S Redwood Rd
South Jordan, UT 84095-8502

Mailing address

10433 S Redwood Rd Ste 2
South Jordan, UT 84095-8502
Phone (801) 260-1919

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in UT
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.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250428003520 UT Practitioner - Nurse Practitioner 8820514326 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
After Hours Medical LLCGroup PAC ID 8123926904, 30 clinicians

Practice addresses (Care Compare)

13348 S Market Ctr Dr
Riverton, UT 84065-8001
Phone (385) 399-5700

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
114437774405UTMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
After Hours Medical LLC Current Accepting new patients
After Hours Medical LLC, Dba Medallus Medical CurrentSince Mar 12, 2025 Accepting new patients
After Hours Medical LLC, Dba Medallus Medical CurrentSince Mar 12, 2025 Accepting new patients

Locations

1126 E Draper Pkwy
Draper, UT 84020
Phone (801) 545-0600

13348 S Market Center Dr
Riverton, UT 84065
Phone (801) 302-8866

13348 S Market Center Dr
Ste 100
Riverton, UT 84065
Phone (801) 844-1600

10433 S Redwood Rd
South Jordan, UT 84095
Phone (801) 260-1919

10433 S Redwood Rd
#2
South Jordan, UT 84095
Phone (801) 260-1919

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1738022400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742342400000",
    "number": "1396558060",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10433 S REDWOOD RD STE 2",
            "city": "SOUTH JORDAN",
            "state": "UT",
            "postal_code": "840958502",
            "telephone_number": "801-260-1919",
            "fax_number": "801-260-1441"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10433 S REDWOOD RD",
            "city": "SOUTH JORDAN",
            "state": "UT",
            "postal_code": "840958502",
            "telephone_number": "801-501-0500",
            "fax_number": "801-253-0696"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIEBHARDT",
        "first_name": "MEAGEN",
        "middle_name": "LEANNE",
        "credential": "MSN, APRN, FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-01-28",
        "last_updated": "2025-03-19",
        "certification_date": "2025-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "UT",
            "license": "114437774405",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "UT",
            "license": "11443777-4405",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in South Jordan, UT

Sources for this page

Verify at the official NPI Registry.