Amy R Leibli, NP

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

120130 Issued in WV

Practice address

266 Skidmore LN
Sutton, WV 26601-9271

Phone

(304) 765-4400

Fax

(304) 765-0354

NPI assigned

Sep 26, 2017

Sex

Female

Sole proprietor

No

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

Specialties & licenses 4

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in CO, WV2 enrollments

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 2

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: amy.leibli.1@4803.direct.athenahealth.com

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 Care of West Virginia, Inc.

  • Federally Qualified Health Center (FQHC)
  • Clarksburg, WV
  • NPI 1053742668
  Medicare reassignment NPD
• Community Care of West Virginia, Inc.

  • Federally Qualified Health Center (FQHC)
  • Sutton, WV
  • NPI 1609042266
  Medicare reassignment NPD
• Community Care of West Virginia, Inc.

  • Federally Qualified Health Center (FQHC)
  • Sutton, WV
  • NPI 1770917577
  Medicare reassignment NPD
• Sondermind Provider Network LLC

  • Clinical Social Worker
  • Denver, CO
  • NPI 1760854442

  Psychiatric/Mental Health

  Medicare reassignment NPD
• Community Care of West Virginia Inc

  • Federally Qualified Health Center (FQHC)
  • Slatyfork, WV
  • NPI 1215741665
  NPD
• Community Care of West Virginia Inc

  • Federally Qualified Health Center (FQHC)
  • Clarksburg, WV
  • NPI 1851787121
  NPD
• Community Care of West Virginia, Inc.

  • Federally Qualified Health Center (FQHC)
  • Sutton, WV
  • NPI 1053821363
  NPD
• Community Care of West Virginia, Inc.

  • Federally Qualified Health Center (FQHC)
  • Buckhannon, WV
  • NPI 1063048189
  NPD
• Community Care of West Virginia, Inc.

  • Federally Qualified Health Center (FQHC)
  • Weston, WV
  • NPI 1073944658
  NPD
• Community Care of West Virginia, Inc.

  • Federally Qualified Health Center (FQHC)
  • Roanoke, WV
  • NPI 1104292168
  NPD
• Community Care of West Virginia, Inc.

  • Federally Qualified Health Center (FQHC)
  • Buckhannon, WV
  • NPI 1114277050
  NPD
• Community Care of West Virginia, Inc.

  • Community/Behavioral Health Agency
  • Bridgeport, WV
  • NPI 1144811290
  NPD

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

{
    "created_epoch": "1506384000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738454400000",
    "number": "1316456981",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "266 SKIDMORE LN",
            "city": "SUTTON",
            "state": "WV",
            "postal_code": "266019271",
            "telephone_number": "304-765-4400",
            "fax_number": "719-765-0354"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "266 SKIDMORE LN",
            "city": "SUTTON",
            "state": "WV",
            "postal_code": "266019271",
            "telephone_number": "304-765-4400",
            "fax_number": "304-765-0354"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEIBLI",
        "first_name": "AMY",
        "middle_name": "R",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-09-26",
        "last_updated": "2025-02-02",
        "certification_date": "2025-02-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CO",
            "license": "APN.0993394-NP",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WV",
            "license": "120130",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "CO",
            "license": "ACPM.0993394-NP",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "WV",
            "license": "120130",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NP LICENSE WITH UNRESTRICTED AUTHORITY",
            "identifier": "120130",
            "state": "WV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "APN-NP",
            "identifier": "APN.0993394-NP",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Carrie Lawson
• Stacy Lawson
• Dale Eyvonne Lee
• Jennifer Dawn Legg
• Leah Legg
• Kerri Lea Lemon, RPH
• Edith Judy Lesher
• Alishia Lewis
• Heaven Lewis
• Jerry A Lewis

• Psychiatric/Mental Health Nurse Practitioner in Sutton, WV
• Providers in Sutton, WV by specialty
• Psychiatric/Mental Health Nurse Practitioner in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2025; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.