Jill Liebnau, CRNA

Primary specialty

SpecialistTaxonomy code 174400000X

License

192851 Issued in OH

Practice address

2409 Cherry St
#305
Toledo, OH 43608

Phone

(419) 251-3740

Fax

(419) 251-3859

NPI assigned

Jun 7, 2006

Last updated

May 16, 2008By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in OH

Enrollment records 1

Specialty

Certified Registered Nurse Anesthetist (Crna)

Education

Other, 1997

Medicare assignment

May accept Medicare assignment

Group practices

A4 of Ohio LLCGroup PAC ID 3971837188, 33 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Registered Nurse

State licenses

Practice roles

Locations

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.

• A4 of Ohio, LLC

  • Anesthesiology Physician
  • Toledo, OH
  • NPI 1255996567
  Medicare reassignment Care Compare group
• Sylvania Anesthesia Services, L.L.C.

  • Anesthesiology Physician
  • Toledo, OH
  • NPI 1225388630
  Medicare reassignment NPD
• West Central Surgical Center, LLC

  • Certified Registered Nurse Anesthetist
  • Toledo, OH
  • NPI 1255578936
  Medicare reassignment NPD
• West Central Surgical Center, LLC

  • Ambulatory Surgical Clinic/Center
  • Toledo, OH
  • NPI 1538157037
  NPD
• Associated Anesthesiologists of Toledo, Inc

  • Specialist
  • Toledo, OH
  • NPI 1871544312
  NPD (past)

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

{
    "created_epoch": "1149638400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1210896000000",
    "number": "1356381693",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8089 SUNDON DR",
            "city": "LAMBERTVILLE",
            "state": "MI",
            "postal_code": "481449717"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2409 CHERRY ST",
            "address_2": "#305",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "43608",
            "telephone_number": "419-251-3740",
            "fax_number": "419-251-3859"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIEBNAU",
        "first_name": "JILL",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-07",
        "last_updated": "2008-05-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "OH",
            "license": "192851",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2085952",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Liberty West Nursing Center of Toledo Inc
• Brandon Licht, MD
• Paige Lichtenberg
• Safiya Liddell-Smith
• Rebecca Liebes
• Jennifer Liehr, ED. S, NCSP
• Theresa A Lien, RPH
• Breanne Lyn Lieske
• Life Care Health Service LLC (non emergency medical transportation & Home Care Agency)
• Life Flow Recovery LLC

• Specialist in Toledo, OH
• Providers in Toledo, OH by specialty
• Specialist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.