DR. JONATHAN LIBBY (NPI# 1558324772) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1558324772 |
Entity Type | Individual |
Full Name | DR. JONATHAN LIBBY |
Credential | DNP, APRN, CPNP |
Practice Address |
100 Campus Ave Apt 203 Lewiston ME 04240-6079 |
Mailing Address |
Po Box 10187 Albany NY 12201-5187 |
Practice Telephone | 2077553160 |
Practice Fax Number | 2077553166 |
Mailing Telephone | 2077774111 |
Mailing Fax Number | 2077836660 |
Enumeration Date | 2006-04-10 |
Last Update Date | 2015-06-03 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LP0200X |
Nurse Practitioner Specialization: Pediatrics |
041889 | ME | Physician Assistants & Advanced Practice Nursing Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
ME | 245420099 | 05 |
Street Address |
100 CAMPUS AVE APT 203 |
City | LEWISTON |
State | ME |
Zip Code | 04240-6079 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1538773882 | Hannah Page Guerrette | Speech-Language Pathologist | 2 Strawberry Ave, Lewiston, ME 04240 | 2020-09-03 |
1497392500 | Samuel C Larouche | Social Worker | 100 Campus Ave Stes A&b, Lewiston, ME 04240 | 2019-12-09 |
1972145019 | Pomarand Behavioral Services | Nurse Practitioner | 217 Main St., Suite 201, Lewiston, ME 04240 | 2019-10-10 |
1396248258 | William Bucklin | Counselor | 17 Main St Fl 2, Lewiston, ME 04240 | 2018-03-16 |
1548769524 | Kevin Ryan | Physician Assistant | 12 High Street Suite 102, Lewiston, ME 04240 | 2018-02-06 |
1033637673 | Wellness Center | Clinic/Center | 37 Park Street, Suite 305, Lewiston, ME 04240 | 2017-09-04 |
1710404561 | Colasante Chiropractic, LLC | Clinic/Center | 184 Webster Street, #100, Lewiston, ME 04240 | 2017-08-23 |
1609398544 | Lindsey Laforge | Occupational Therapist | 984 1/2 Sabattus Street, Lewiston, ME 04240 | 2017-07-12 |
1861922478 | Seth Toothaker | Counselor | 1190 Lisbon Street, Lewiston, ME 04240 | 2017-06-15 |
1861850828 | Black Bear Support Services, LLC | Community/Behavioral Health | 571 Sabattus Street, Suite 15, Lewiston, ME 04240 | 2016-02-05 |
Find all providers in zip 04240 |
Taxonomy Code | 363LP0200X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Pediatrics |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1497848675 | Kimberly Ann Szymanski | Nurse Practitioner | 2015 Mount Hope Road, Lewiston, NY 14092 | 2006-10-02 |
1912488149 | Jared J Morin | Nurse Practitioner | 12 High St, Lewiston, ME 04240-7676 | 2018-08-26 |
1528304409 | Amanda Bowden | Nurse Practitioner | 33 Mollison Way, Lewiston, ME 04240-5805 | 2012-12-20 |
1689982449 | Emily Vandoren | Nurse Practitioner | 33 Mollison Way, Lewiston, ME 04240-5805 | 2010-09-15 |
1902006851 | Heidi Toews | Nurse Practitioner | 12 High St, Suite 301, Lewiston, ME 04240-7634 | 2007-07-19 |
1811016579 | Catherine Roland | Nurse Practitioner | 156 East Ave, Lewiston, ME 04240-5626 | 2007-03-27 |
1033184627 | Jayne C. Overholt | Nurse Practitioner | 5290 Military Rd, Suite #3, Lewiston, NY 14092-1953 | 2006-02-17 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1932503133 | Meryl Mccarthy | Nurse Practitioner | 417 State Street, Suite 310, Emmc - Pediatric Specialty Clinics, Bangor, ME 04401 | 2014-10-16 |
1063648079 | Sarah-louise Elisabeth Corson | Nurse Practitioner | 6 Pine Point Rd, Scarborough, ME 04074-9201 | 2009-06-04 |
1407050164 | Melissa Diana Mckenzie | Nurse Practitioner | 37 Palmer St Ste 1, Calais, ME 04619-1341 | 2007-06-14 |
1942403266 | Webber Hospital Association | Nurse Practitioner | 473 Alfred St, Biddeford, ME 04005-9447 | 2007-06-06 |
1578785101 | Jacqueline M Campbell | Nurse Practitioner | 473 Alfred Road, Biddeford, ME 04005 | 2007-05-03 |
1699858266 | Nathaniel Todd Lesser | Nurse Practitioner | 518 Us Route 1, Kittery, ME 03904-2500 | 2006-10-24 |
1053320804 | Karen Elizabeth Caines | Nurse Practitioner | 96 Falmouth St, Portland, ME 04104-9300 | 2006-08-07 |
1427077312 | Ronald E. Cormier | Nurse Practitioner | 55 Reynolds Road, Brooks, ME 04921-0159 | 2006-07-19 |
1649209982 | Joanne M Perry | Nurse Practitioner | 901 Washington Ave Ste 100, Portland, ME 04103-2842 | 2006-06-30 |
1932193679 | Ann B. Waitt | Nurse Practitioner | 133 Corporate Dr, Bangor, ME 04401-4312 | 2005-09-08 |
Find all providers with the same taxonomy |
Please comment or provide details below to improve the information on DR. JONATHAN LIBBY.
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.