Active NPI
Mary Ann Libeta
- Registered Nurse First Assistant
- Lancaster, CA
National Provider Identifier
1366782823
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse First Assistant
- License
- RN468120
- Practice address
- 41447 44TH St W
Lancaster, CA 93536-2495 - Phone
- (661) 942-3252
- Fax
- (661) 942-3252
- NPI assigned
- Feb 21, 2013
- 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 |
|---|---|---|---|---|
| Registered Nurse First Assistant | 163WR0006X | RN468120 | CA | Primary |
Addresses
Primary practice location
41447 44TH St W
Lancaster, CA 93536-2495
Mailing address
41447 44TH St W
Lancaster, CA 93536-2495
Phone (661) 942-3252
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN468120 | CA | MD | Registered Nurse First Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1361404800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1361404800000",
"number": "1366782823",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "41447 44TH ST W",
"city": "LANCASTER",
"state": "CA",
"postal_code": "935362495",
"telephone_number": "661-942-3252",
"fax_number": "661-942-3252"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "41447 44TH ST W",
"city": "LANCASTER",
"state": "CA",
"postal_code": "935362495",
"telephone_number": "661-942-3252",
"fax_number": "661-942-3252"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LIBETA",
"first_name": "MARY ANN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-02-21",
"last_updated": "2013-02-21",
"status": "A"
},
"taxonomies": [
{
"code": "163WR0006X",
"taxonomy_group": "",
"desc": "Registered Nurse, Registered Nurse First Assistant",
"state": "CA",
"license": "RN468120",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lancaster, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.