Libby A Sorosiak, NP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

COA-10850-NP Issued in OH

Practice address

6100 Rockside Woods Blvd N Ste 425
Independence, OH 44131-2340

Phone

(419) 356-5370

NPI assigned

Sep 18, 2009

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in OH, MI2 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

Certified Nurse Practitioner, Nurse Practitioner

State licenses

Practice roles

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.

• Hospice of Northwest Ohio

  • Hospice and Palliative Medicine (Internal Medicine) Physician
  • Perrysburg, OH
  • NPI 1174859508

  MI

  Medicare reassignment
• Hospice of Northwest Ohio

  • Community Based Hospice Care Agency
  • Perrysburg, OH
  • NPI 1265435499
  NPD (past)

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

{
    "created_epoch": "1253232000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1653004800000",
    "number": "1356674675",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30000 E RIVER RD",
            "city": "PERRYSBURG",
            "state": "OH",
            "postal_code": "435513429",
            "telephone_number": "419-661-4001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6100 ROCKSIDE WOODS BLVD N STE 425",
            "city": "INDEPENDENCE",
            "state": "OH",
            "postal_code": "441312340",
            "telephone_number": "419-356-5370"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOROSIAK",
        "first_name": "LIBBY",
        "middle_name": "A",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-09-18",
        "last_updated": "2022-05-20",
        "certification_date": "2022-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "OH",
            "license": "RN267190",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "OH",
            "license": "COA-10850-NP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Santosha Solomon
• Meyyappan Somasundaram, MD
• Somnorem
• Shalini Sood, M.D.
• Meghan Sorgi, PHARMD
• Daniel Edward Soucie II, DDS
• Denise M Spagnola
• Kimara Spencer
• Dale Steele, APRN
• Ellen Stefancik, RPH

• Nurse Practitioner in Independence, OH
• Providers in Independence, OH by specialty
• Nurse Practitioner in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2022; 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.