DR. JONATHAN LIBBY


Address: 100 Campus Ave Apt 203, Lewiston, ME 04240-6079
Phone: 2077553160

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LP0200X Nurse Practitioner
Specialization: Pediatrics
041889 ME Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
ME 245420099 05

Office Location

Street Address 100 CAMPUS AVE APT 203
City LEWISTON
State ME
Zip Code 04240-6079

Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 363LP0200X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Pediatrics

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

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

Providers in the same taxonomy and state

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
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Competitor

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City LEWISTON
Zip Code 04240

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Dataset Information

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.

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