Liezl Malibiran, CNP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

NP09561 Issued in OH

Practice address

8386 Raleigh PL
Concord TWP, OH 44077-8546

Phone

(440) 709-6028

Fax

(440) 709-6303

NPI assigned

Nov 19, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in OH

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

Specialty

Nurse Practitioner

Education

Other, 2007

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Nurse Practitioner, 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.

• Community Healthcare Partner, LLC

  • Nurse Practitioner
  • Concord Township, OH
  • NPI 1194141622
  Medicare reassignment NPD Authorized official
• Infinity Health Care, LLC

  • Nursing Care Agency
  • Westlake, OH
  • NPI 1902851587
  NPD (past)
• Jamal Azem, M.D., Inc

  • Specialist
  • Willoughby, OH
  • NPI 1992835656
  NPD (past)
• Primary Nurse Practitioner Inc

  • Nurse Practitioner
  • Mentor, OH
  • NPI 1225224132
  NPD (past)
• Rajesh Agarwal MD, LLC

  • Geriatric Medicine (Internal Medicine) Physician
  • Mayfield Heights, OH
  • NPI 1942422035
  NPD (past)
• Self-Employed NP Development Co., LLC

  • Nurse Practitioner
  • Gahanna, OH
  • NPI 1588832356
  NPD (past)
• Qofl Services LLC

  • Nurse Practitioner
  • Louisville, KY
  • NPI 1942554837
  NPD (past)

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

{
    "created_epoch": "1195430400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1398297600000",
    "number": "1093996019",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5076",
            "city": "MENTOR",
            "state": "OH",
            "postal_code": "440615076",
            "telephone_number": "440-350-4747",
            "fax_number": "440-350-4747"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8386 RALEIGH PL",
            "city": "CONCORD TWP",
            "state": "OH",
            "postal_code": "440778546",
            "telephone_number": "440-709-6028",
            "fax_number": "440-709-6303"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MALIBIRAN",
        "first_name": "LIEZL",
        "credential": "CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-11-19",
        "last_updated": "2014-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "OH",
            "license": "NP09561",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0099265",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Patricia Marie Lord, RN, BSN, CDE
• Arminda L Lumapas, M.D.
• Kendra Lea Mahaffey, O.D.
• Diane K Mahoney, PH.D.
• Jill Maiorca, LISW
• Deborah A Manuel, PA
• John Mathews II, FNP-C
• Draga Matic
• May Azem MD Inc
• Kelly McCloskey

• Nurse Practitioner in Concord TWP, OH
• Providers in Concord TWP, OH by specialty
• Nurse Practitioner in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2014; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.