Active NPI
Libertad Orellana Raibstein, NNP
- Neonatal Nurse Practitioner
- Kenner, LA
National Provider Identifier
1235319823
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neonatal Nurse Practitioner
- License
- AP03846
- Practice address
- 180 W Esplanade Ave
Kenner, LA 70065-2467 - Phone
- (504) 468-8600
- NPI assigned
- Nov 12, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neonatal Nurse Practitioner | 363LN0000X | AP03846 | LA | Primary |
Addresses
Primary practice location
180 W Esplanade Ave
Kenner, LA 70065-2467
Mailing address
180 W Esplanade Ave
Kenner, LA 70065-2467
Phone (504) 468-8600
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 05650706 | Medicaid | MS | |
| 1113565 | Medicaid | LA |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AP03846 | LA | MD | Neonatal Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1194825600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1206576000000",
"number": "1235319823",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "180 W ESPLANADE AVE",
"city": "KENNER",
"state": "LA",
"postal_code": "700652467",
"telephone_number": "504-468-8600"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "180 W ESPLANADE AVE",
"city": "KENNER",
"state": "LA",
"postal_code": "700652467",
"telephone_number": "504-468-8600"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RAIBSTEIN",
"first_name": "LIBERTAD",
"middle_name": "ORELLANA",
"credential": "NNP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-11-12",
"last_updated": "2008-03-27",
"status": "A"
},
"taxonomies": [
{
"code": "363LN0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Neonatal",
"state": "LA",
"license": "AP03846",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "05650706",
"state": "MS"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1113565",
"state": "LA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Kenner, LA
- Miesha Pumphrey
- Deanna M Quinn-Stevenson, FNP
- Quynh Mai Clinic LLC
- R. Joseph Tamimie, MD, Apmc (East Jefferson Occupations Medicine Clinic)
- Chad Radecker
- Daniel Lawrence Raines, M.D.
- Rekha Ramachandran, M.D.
- Ramsey Chiropractic Inc
- Sharel Dianna Randolph, DNP, APRN, FNP-C
- Raul G. Reyes MD AMC (LaClinica)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.