ANDREA LIEBERSOHN


Address: 700 High St, Williamsport, PA 17701-3100
Phone: 5703212125

ANDREA LIEBERSOHN (NPI# 1629610480) 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) 1629610480
Entity Type Individual
Full Name ANDREA LIEBERSOHN
Practice Address 700 High St
Williamsport
PA 17701-3100
Mailing Address 1201 Grampian Blvd
Williamsport
PA 17701-1900
Practice Telephone 5703212125
Practice Fax Number 5703212192
Enumeration Date 2019-10-14
Last Update Date 2019-11-01
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363L00000X Nurse Practitioner SP021036 PA Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 700 HIGH ST
City WILLIAMSPORT
State PA
Zip Code 17701-3100

Providers in the same location

NPI Name Taxonomy Address Enumeration
1063412948 Alfredo L Blas IIi Internal Medicine 700 High St, Williamsport, PA 17701-3198 2005-07-21
1013534031 Austin Strosser Physician Assistant 700 High St, Williamsport, PA 17701-3100 2020-06-26
1720605728 Kyrstin Hubbard Pharmacist 700 High St, Williamsport, PA 17701-3100 2020-06-25
1861013682 Daniel Schuler Student in an Organized Health Care Education/Training Program 700 High St, Williamsport, PA 17701-3100 2020-05-04
1164068904 Jeremy Tock Physician Assistant 700 High St, Williamsport, PA 17701-3100 2019-11-26
1144866278 Ivan Pinsky Nurse Anesthetist, Certified Registered 700 High St, Williamsport, PA 17701-3100 2019-11-25
1659917128 Jo Ann Evans Nurse Practitioner 700 High St, Williamsport, PA 17701-3198 2019-11-20
1093359713 Randy Metzger Occupational Therapy Assistant 700 High St, Williamsport, PA 17701-3100 2019-11-06
1265074389 Trevor Joseph Hiller Registered Nurse 700 High St, Williamsport, PA 17701-3100 2019-10-09
1487295762 Sara Bintner Physician Assistant 700 High St, Williamsport, PA 17701-3100 2019-10-08
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1184267809 Charlene Angella Pitter Nurse Practitioner 170 Warren Ave, Williamsport, PA 17701 2019-10-25
1396395299 Susan E Fetzer Occupational Therapy Assistant Upmc Susquehanna,625 West Edwin Street, Williamsport, PA 17701 2019-09-13
1184280984 Craig Andrew Tuller Student in an Organized Health Care Education/Training Program Williamsport Family Medicine Residency, 740 High Street, Suite 4001, Williamsport, PA 17701 2019-05-16
1760048045 Michael Harvey Student in an Organized Health Care Education/Training Program 740 High St. Suite 4001, Williamsport, PA 17701 2019-05-13
1275196008 Olivia Fladmark Student in an Organized Health Care Education/Training Program Williamsport Family Medicine Residency 740 High St, Suite 4001, Williamsport, PA 17701 2019-04-17
1528551231 Mark Hampton Chiropractic Inc. Durable Medical Equipment & Medical Supplies 1111 East 3rd Street, Williamsport, PA 17701 2018-06-08
1548710882 Central Pennsylvania Rehabilitation Medicine, Inc Physical Medicine & Rehabilitation 460 River Ave Ste 1, Williamsport, PA 17701 2016-10-11
1376096784 Christine Kessler Physician Assistant One College Ave, Penna. College of Tech, Pa Program Dif 123, Williamsport, PA 17701 2016-08-02
1629440276 Matthew Ray Rebuck Specialist/Technologist 220 N Reach Rd, Williamsport, PA 17701 2015-10-22
1508237223 Neihl Williamson Physician Assistant 1205 Grampian Blvd Ste 3c, Williamsport, PA 17701 2015-10-08
Find all providers in zip 17701

Taxonomy Information

Taxonomy Code 363L00000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner

Taxonomy Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1184108540 Felicia Ann Kelly Nurse Practitioner 1705 Warren Ave Ste 303, Williamsport, PA 17701-2665 2018-09-21
1295114130 Amber Lynn Petty Nurse Practitioner 131 W Edwin St, Williamsport, PA 17701-6131 2015-05-26
1578802864 Joseph L Costa Nurse Practitioner 460 River Ave, Williamsport, PA 17701 2013-02-06
1174694467 Linda Berrisford Nurse Practitioner 1731 Ringer Ln, Williamsport, IN 47993-8900 2006-11-10
1265495915 Olivia D. Ott Nurse Practitioner 904 Campbell Street, Suite 203, Williamsport, PA 17701 2006-04-11
1679187280 Alvine Naliaka Taylor Nurse Practitioner 1201 Grampian Blvd Ste 1a, Williamsport, PA 17701-1965 2020-09-01
1649889205 Cody Edward Cooper Nurse Practitioner 740 High St Ste 1003, Williamsport, PA 17701-3102 2020-07-29
1346862745 Kyle Creighton Thiel Nurse Practitioner 1100 Grampian Blvd, Williamsport, PA 17701-1907 2020-05-08
1184266918 Erica Jeanne Ernest Nurse Practitioner 740 High St, Suite 1003, Williamsport, PA 17701-3100 2019-10-14
1376017947 Amanda Marie Swanson Nurse Practitioner 1100 Grampian Blvd, Williamsport, PA 17701-1909 2019-01-17
Find all providers in WILLIAMSPORT

Competitor

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City WILLIAMSPORT
Zip Code 17701

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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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