Individual provider Active NPI

Jaime A. Liebig, C.NM

  • Advanced Practice Midwife
  • Cheverly, MD
National Provider Identifier
1053735449
Registry record updated Dec 15, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Advanced Practice MidwifeTaxonomy code 367A00000X
License
R197216 Issued in MD
Practice address
3001 Hospital Dr
Dimensions Healthcare Associates Midwifery Department
Cheverly, MD 20785-1189
Phone
(301) 618-2244
NPI assigned
Feb 6, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 15, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Advanced Practice Midwife 367A00000X R197216 MD Primary

Addresses

Primary practice location

3001 Hospital Dr
Dimensions Healthcare Associates Midwifery Department
Cheverly, MD 20785-1189

Mailing address

3001 Hospital Dr
Dimensions Healthcare Associates Midwifery Department
Cheverly, MD 20785-1189

Other names 1

  • Jaime A. Records Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20141027000795 CT Practitioner - Certified Nurse Midwife (CNM) 7012130701 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Nurse Midwife (CNM)
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Physicians for Women'S Health, LLCGroup PAC ID 3274430665, 319 clinicians
OB-GYN Services, P.C.Group PAC ID 1850373077, 17 clinicians

Practice addresses (Care Compare)

103 Newtown Rd
Candlewood Center for Womens Health
Danbury, CT 06810-4195
Phone (203) 730-8789

17 Case St
Norwich, CT 06360-2208
Phone (860) 889-2909

330 Washington St
Suite 340
Norwich, CT 06360-2700
Phone (860) 889-2909

388 W Ctr St
Manchester OBGYN Associates
Manchester, CT 06040-4735
Phone (860) 649-1120

394 W Ctr St
Manchester OBGYN Associates
Manchester, CT 06040-4735
Phone (860) 649-1120

Merit-based Incentive Payment System (MIPS)

Final score
89.08 of 100Reported as group
Quality
85.82
Promoting interoperability
100
Improvement activities
40
Cost
77.8

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Midwife

State licenses

LicenseStateTypeSpecialty
000394CTMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
OB-GYN Services, P.C. CurrentSince Nov 1, 2025 Accepting new patients
Physicians for Women'S Health LLC Advanced Practice Midwife CurrentSince Oct 1, 2014 Accepting new patients
North Coast Anesthesia LLC PastSince Jan 7, 2015 Accepting new patients

Locations

121 Broadway St
Ste 2
Colchester, CT 06415
Phone (860) 537-0900

103 Newtown Rd
Danbury, CT 06810
Phone (203) 730-8789

388 W Center St
Manchester, CT 06040
Phone (860) 645-6670

394 W Center St
Manchester, CT 06040
Phone (860) 647-7831

21 Ledgebrook Dr
Mansfield Ctr, CT 06250
Phone (860) 450-7227

17 Case St
Norwich, CT 06360
Phone (860) 886-2461

330 Washington St
Ste 340
Norwich, CT 06360
Phone (860) 889-2909

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1391644800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1481760000000",
    "number": "1053735449",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3001 HOSPITAL DR",
            "address_2": "DIMENSIONS HEALTHCARE ASSOCIATES MIDWIFERY DEPARTMENT",
            "city": "CHEVERLY",
            "state": "MD",
            "postal_code": "207851189"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3001 HOSPITAL DR",
            "address_2": "DIMENSIONS HEALTHCARE ASSOCIATES MIDWIFERY DEPARTMENT",
            "city": "CHEVERLY",
            "state": "MD",
            "postal_code": "207851189",
            "telephone_number": "301-618-2244"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIEBIG",
        "first_name": "JAIME",
        "middle_name": "A.",
        "credential": "C.NM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-02-06",
        "last_updated": "2016-12-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "MD",
            "license": "R197216",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JAIME",
            "last_name": "RECORDS",
            "middle_name": "A.",
            "credential": "C.N.M.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Cheverly, MD

Sources for this page

Verify at the official NPI Registry.