Theresa Ann Libert, RNFA

Primary specialty

Registered Nurse First AssistantTaxonomy code 163WR0006X

License

15645 Issued in NV

Practice address

6630 S McCarran Blvd Ste C25
Reno, NV 89509-6187

Phone

(775) 827-7555

NPI assigned

Aug 31, 2023

Last updated

Aug 31, 2023By the provider in NPPES

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

Other names 1

• Theresa Ann Erickson Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1693440000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693440000000",
    "number": "1306622816",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2620 SPINNAKER DR",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895195752",
            "telephone_number": "775-530-5040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6630 S MCCARRAN BLVD STE C25",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895096187",
            "telephone_number": "775-827-7555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIBERT",
        "first_name": "THERESA",
        "middle_name": "ANN",
        "credential": "RNFA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-08-31",
        "last_updated": "2023-08-31",
        "certification_date": "2023-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WR0006X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Registered Nurse First Assistant",
            "state": "NV",
            "license": "15645",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "THERESA",
            "last_name": "ERICKSON",
            "middle_name": "ANN",
            "credential": "RNFA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Xintong Li, MD
• Shayan Liaghat, DDS
• Nathan Lian, PHARM.D.
• Jaime Jing Liang
• Keith Edward Libert, MD
• Liberty Dialysis-Northwest Reno LLC
• Liberty Dialysis-Reno Home Dialysis LLC
• Liberty Dialysis-South Reno LLC
• Liberty Transport Company,LLC
• Libke Dental LTD (Hillside Dental)

• Registered Nurse First Assistant in Reno, NV
• Providers in Reno, NV by specialty
• Registered Nurse First Assistant in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.