Active NPI
Karen D Libsch, MD
- Family Medicine Physician
- St Maries, ID
National Provider Identifier
1114996428
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- M-10876
- Practice address
- 229 S 8TH St
St Maries, ID 83861-1813 - Phone
- (208) 245-2591
- Fax
- (208) 245-5246
- NPI assigned
- Mar 17, 2006
- 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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 41146 | CO | |
| Family Medicine Physician | 207Q00000X | M-10876 | ID | Primary |
Addresses
Primary practice location
229 S 8TH St
St Maries, ID 83861-1813
Mailing address
229 S 8TH St
St Maries, ID 83861-1813
Phone (208) 245-2591
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114996428 | Other | WA | PREMERA BLUE CROSS |
| 40984524 | Medicaid | CO | |
| 808521300 | Medicaid | ID | |
| 78176 | Other | ID | BLUE CROSS OF IDAHO |
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
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Karen D Libsch MD PC | Family Medicine | Past | Accepting new patients |
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 and National Provider Directory roles.
-
- Family Medicine Physician
- Cortez, CO
- NPI 1356429864
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1142553600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1263254400000",
"number": "1114996428",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "229 S 8TH ST",
"city": "ST MARIES",
"state": "ID",
"postal_code": "838611813",
"telephone_number": "208-245-2591",
"fax_number": "208-245-5246"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "229 S 8TH ST",
"city": "ST MARIES",
"state": "ID",
"postal_code": "838611813",
"telephone_number": "208-245-2591",
"fax_number": "208-245-5246"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LIBSCH",
"first_name": "KAREN",
"middle_name": "D",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-03-17",
"last_updated": "2010-01-12",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "CO",
"license": "41146",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "ID",
"license": "M-10876",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PREMERA BLUE CROSS",
"identifier": "1114996428",
"state": "WA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "40984524",
"state": "CO"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "808521300",
"state": "ID"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS OF IDAHO",
"identifier": "78176",
"state": "ID"
}
],
"endpoints": [],
"other_names": []
}Other providers in St Maries, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.