Kimberly R. Liberty, APRN

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

101.0135116 Issued in VT

Practice address

3 Crest Rd
Saint Albans, VT 05478-9753

Phone

(802) 524-4554

NPI assigned

Nov 20, 2021

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in VT

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Tamarack Family Medicine

  • Clinic/Center
  • Morrisville, VT
  • NPI 1902458896
  Medicare reassignment NPD
• The Richford Health Center Inc

  • Family Medicine Physician
  • Alburg, VT
  • NPI 1407843543
  NPD (past)

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

{
    "created_epoch": "1637366400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1642204800000",
    "number": "1083371470",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40 STILL RD",
            "city": "JOHNSON",
            "state": "VT",
            "postal_code": "056569182",
            "telephone_number": "802-598-4531"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 CREST RD",
            "city": "SAINT ALBANS",
            "state": "VT",
            "postal_code": "054789753",
            "telephone_number": "802-524-4554"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIBERTY",
        "first_name": "KIMBERLY",
        "middle_name": "R.",
        "name_prefix": "Ms.",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-11-20",
        "last_updated": "2022-01-15",
        "certification_date": "2022-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VT",
            "license": "101.0135116",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Paula Denise Beer Lescure, R.D.
• Kristina Leska, DDS
• Jennifer Levasseur, RPH
• Olivia Nicole Lewallen
• Tal O. Leyshon, M.D.
• Jordan Alexander Lieberman, DDS
• Julie Hsiao-Wen Lin, MD
• Maureen Keenan Linsenmeir, M.S.
• Heidi Livingston, LIC PSY MA
• LLC Mark Lucas

• Family Nurse Practitioner in Saint Albans, VT
• Providers in Saint Albans, VT by specialty
• Family Nurse Practitioner in Vermont

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.