SUSAN JOY LEIBEL (NPI# 1083630180) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083630180 |
| Entity Type | Individual |
| Full Name | SUSAN JOY LEIBEL |
| Credential | CNM |
| Practice Address |
1001 Potrero Ave Rm 6d14 San Francisco CA 94110-3518 |
| Mailing Address |
Po Box 7464 San Francisco CA 94120-7464 |
| Practice Telephone | 4152065679 |
| Practice Fax Number | 4152063112 |
| Mailing Telephone | 4152063103 |
| Mailing Fax Number | 4152063872 |
| Enumeration Date | 2006-07-14 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 363LX0001X |
Nurse Practitioner Specialization: Obstetrics & Gynecology |
RN210589 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| X | 367A00000X | Advanced Practice Midwife | NMW2 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | NMW000020 | 05 |
| Street Address |
1001 POTRERO AVE RM 6D14 |
| City | SAN FRANCISCO |
| State | CA |
| Zip Code | 94110-3518 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598769002 | Neda Ratanawongsa | Internal Medicine | 1001 Potrero Ave, 1m General Medicine Clinic, San Francisco, CA 94110-3518 | 2005-06-13 |
| 1275132151 | Rachel Mei Lin Bishop | Occupational Therapist | 1001 Potrero Ave, San Francisco, CA 94110-3518 | 2020-10-21 |
| 1265049340 | Elizabeth Meiselman | Specialist | 1001 Potrero Ave, Main Building 5, 6th Floor, 6m, San Francisco, CA 94110 | 2020-09-23 |
| 1376159269 | Holly Taylor | Dietitian, Registered | 1001 Potrero Ave, San Francisco, CA 94110-3594 | 2020-09-17 |
| 1972116879 | Marissa Ferry | Student in an Organized Health Care Education/Training Program | 1001 Potrero Ave, San Francisco, CA 94110-3518 | 2020-08-28 |
| 1043837982 | Abegail M Rabut | Technician/Technologist | 1001 Potrero Ave, San Francisco, CA 94110-3518 | 2020-06-26 |
| 1669098448 | Denise Intal Mariano | Spec/Tech, Pathology | 1001 Potrero Ave, San Francisco, CA 94110-3518 | 2020-06-17 |
| 1730705500 | Lakshmi Gopalakrishnan | Specialist | 1001 Potrero Ave, Bldg 5, Room 7g19, San Francisco, CA 94110 | 2020-06-17 |
| 1932720828 | Kim Trong Nguyen | Pharmacist | 1001 Potrero Ave, San Francisco, CA 94110-3518 | 2020-05-01 |
| 1730700139 | Heather Waldorf | Dietitian, Registered | 1001 Potrero Ave, San Francisco, CA 94110-3518 | 2020-04-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891302980 | Deena Marlo Abramson | Doula | 1360 Vermont Street, San Francisco, CA 94110 | 2020-09-23 |
| 1740835131 | Jacob Matz | Orthopaedic Surgery | Orthopaedic Trauma Institute, 2550 23rd St Building 9, 2nd Floor, San Francisco, CA 94110 | 2019-08-03 |
| 1427523083 | John Pier Shaw | Counselor | 1550 Treat Street, San Francisco, CA 94110 | 2018-10-10 |
| 1548743594 | Ana Li | Registered Nurse | 2460 22nd Street, Building 90, Fourth Floor, Ward 94, San Francisco, CA 94110 | 2018-09-14 |
| 1295220283 | Sarah Jane Blevins | Technician, Other | 1061 Valencia Street, Apt A, San Francisco, CA 94110 | 2018-06-22 |
| 1639688823 | Rashid Belkheiri | Community Health Worker | 1001 Potrero Ave Bldg 5 #7m36, San Francisco, CA 94110 | 2017-09-20 |
| 1780107425 | Allison Kimberley Tucker | Orthopaedic Surgery | 2550 23rd St., Bldg. 9, 2nd Floor, Orthopedic Trauma Institute, San Francisco, CA 94110 | 2017-07-25 |
| 1003339300 | April May Moyer | Student in an Organized Health Care Education/Training Program | 1001 Potrero Street 6b, San Francisco, CA 94110 | 2017-07-19 |
| 1154851798 | Anthony Jermaine Hatten | Specialist | 1001 Potrero Ave Rm Ward93, San Francisco, CA 94110 | 2017-06-15 |
| 1770012981 | Cardiogram, Inc. | Physiological Laboratory | 375 Alabama St Ste 350, San Francisco, CA 94110 | 2017-06-09 |
| Find all providers in zip 94110 | ||||
| Taxonomy Code | 363LX0001X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Obstetrics & Gynecology |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487701041 | Susan Amy Silberman | Nurse Practitioner | 1833 Fillmore Street, 3rd Floor, San Francisco, CA 94110 | 2007-01-05 |
| 1558432245 | Nancy Sharon Zinn | Nurse Practitioner | 2238 Geary Blvd # 7sw, San Francisco, CA 94115-3416 | 2006-11-13 |
| 1013926435 | Susannah S. Ewing | Nurse Practitioner | 2356 Sutter St Fl 6, San Francisco, CA 94115-3006 | 2006-08-05 |
| 1588696397 | Jean Perry | Nurse Practitioner | 1600 Divisadero St Fl 4, San Francisco, CA 94143-0001 | 2006-07-06 |
| 1184123267 | Alexis Lauren Reiger | Nurse Practitioner | 1725 Montgomery St Ste 200, San Francisco, CA 94111-1019 | 2018-02-05 |
| 1023264397 | Julia Thomas | Nurse Practitioner | 1635 Divisadero St, Suite 600 Rm 17, San Francisco, CA 94115-3036 | 2008-08-18 |
| 1437372752 | Ramona Rule | Nurse Practitioner | 3838 California St Rm 812, San Francisco, CA 94118-1510 | 2007-04-11 |
| 1215057021 | Carolyn Muir | Nurse Practitioner | 3838 California St Rm 812, San Francisco, CA 94118-1510 | 2007-03-29 |
| 1609944974 | Irene Flores | Nurse Practitioner | 2100 Webster St, Suite 427, San Francisco, CA 94115-2373 | 2006-12-02 |
| 1184709875 | Jennifer Tagatz | Nurse Practitioner | 2238 Geary Blvd, 5th Floor, Ob/gyn, San Francisco, CA 94115-3416 | 2006-10-25 |
| Find all providers in SAN FRANCISCO | ||||
| City | SAN FRANCISCO |
| Zip Code | 94110 |
Please comment or provide details below to improve the information on SUSAN JOY LEIBEL.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.