Individual provider Active NPI

Meghan Chandell Newman, DNP

  • Family Medicine Physician
  • South Jordan, UT
National Provider Identifier
1629695341
Registry record updated Jun 29, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
6447946-4405 Issued in UT
Practice address
3556 W 9800 S Ste 101
South Jordan, UT 84095-3221
Phone
(801) 567-9780
NPI assigned
Jun 29, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 29, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 6447946-4405 UT Primary

Addresses

Primary practice location

3556 W 9800 S Ste 101
South Jordan, UT 84095-3221

Mailing address

6234 W Swan Ridge Way
West Jordan, UT 84081-5513
Phone (801) 386-3796

Other identifiers 2

IdentifierTypeStateIssuer
6447946-4405OtherUTAPRN LICENSE
6447946-8900OtherUTAPRN CONTROLLED SUBSTANCE

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
I20210122001884 UT Practitioner - Nurse Practitioner 9830503499 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Copperview Medical Center, LLCGroup PAC ID 4284538976, 18 clinicians

Practice addresses (Care Compare)

3556 W 9800
Suite 101
South Jordan, UT 84095-3221
Phone (801) 567-9780

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
6447946-4405UTMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Copperview Medical Center, LLC Family Medicine CurrentSince Sep 12, 2020 Accepting new patients

Locations

12842 S 3600 W
Ste 102
Riverton, UT 84065
Phone (801) 567-9780

3556 W 9800 S
Ste 101
South Jordan, UT 84095
Phone (801) 567-9780

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1593388800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1593388800000",
    "number": "1629695341",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6234 W SWAN RIDGE WAY",
            "city": "WEST JORDAN",
            "state": "UT",
            "postal_code": "840815513",
            "telephone_number": "801-386-3796"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3556 W 9800 S STE 101",
            "city": "SOUTH JORDAN",
            "state": "UT",
            "postal_code": "840953221",
            "telephone_number": "801-567-9780"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEWMAN",
        "first_name": "MEGHAN",
        "middle_name": "CHANDELL",
        "credential": "DNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-06-29",
        "last_updated": "2020-06-29",
        "certification_date": "2020-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "UT",
            "license": "6447946-4405",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "APRN LICENSE",
            "identifier": "6447946-4405",
            "state": "UT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "APRN CONTROLLED SUBSTANCE",
            "identifier": "6447946-8900",
            "state": "UT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in South Jordan, UT

Sources for this page

Verify at the official NPI Registry.