Active NPI
Ann Libs, WHNP
- Women's Health Nurse Practitioner
- Washington, MO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Women's Health Nurse Practitioner
- License
- 2008012476
- Practice address
- 851 E 5TH St
Suite 200
Washington, MO 63090-3135 - Phone
- (636) 239-8585
- Fax
- (636) 239-8553
- NPI assigned
- Sep 1, 2006
- Last updated
- Jan 5, 2015
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Women's Health Nurse Practitioner | 363LW0102X | 2008012476 | MO | Primary |
| Obstetrics & Gynecology Physician | 207V00000X | 209004733 | IL |
Addresses
Primary practice location
851 E 5TH St
Suite 200
Washington, MO 63090-3135
Mailing address
851 E 5TH St
Suite 200
Washington, MO 63090-3135
Phone (636) 239-8585
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114029386 | Medicaid | MO |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 209004733 | IL | MD | Obstetrics & Gynecology Physician |
| 2008012476 | MO | MD | Women's Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Life Line Community Healthcare - Kansas, PA | Current | Accepting new patients |
Locations
7300 W 110th St
Ste 768
Overland Park, KS 66210
Phone (866) 934-3285
6111 Oak Tree Blvd
Ste 301
Independence, OH 44131
Phone (216) 581-6556
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Life Line Community Healthcare
- Community Health/Public Health Clinical Nurse Specialist
- Independence, OH
- NPI 1942629746
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1157068800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1420416000000",
"number": "1114029386",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "851 E 5TH ST",
"address_2": "SUITE 200",
"city": "WASHINGTON",
"state": "MO",
"postal_code": "630903135",
"telephone_number": "636-239-8585",
"fax_number": "636-239-8553"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "851 E 5TH ST",
"address_2": "SUITE 200",
"city": "WASHINGTON",
"state": "MO",
"postal_code": "630903135",
"telephone_number": "636-239-8585",
"fax_number": "636-239-8553"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LIBS",
"first_name": "ANN",
"credential": "WHNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-09-01",
"last_updated": "2015-01-05",
"status": "A"
},
"taxonomies": [
{
"code": "363LW0102X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Women's Health",
"state": "MO",
"license": "2008012476",
"primary": true
},
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "IL",
"license": "209004733",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1114029386",
"state": "MO"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Washington, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.