Individual provider Active NPI

Rachael Liebman, NP

  • Psychiatric/Mental Health Nurse Practitioner
  • Salem, OR
National Provider Identifier
1396130050
Registry record updated Dec 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
201707000NP-PP Issued in OR
Practice address
1234 Commercial St SE # NA
Salem, OR 97302-4204
Phone
(503) 585-4949
Fax
(503) 585-4965
NPI assigned
Mar 31, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 5, 2025

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 95051770 CA
Psychiatric/Mental Health Registered Nurse 163WP0808X 95051770 CA
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 201707000NP-PP OR Primary
Nurse Practitioner 363L00000X 95007834 CA

Addresses

Primary practice location

1234 Commercial St SE # NA
Salem, OR 97302-4204

Mailing address

1234 Commercial St SE # NA
Salem, OR 97302-4204
Phone (503) 585-4949

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, OR2 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

Enrollment IDStateProvider typePAC IDDetails
I20210618001496 CA Practitioner - Nurse Practitioner 8224438007 Reassigns benefits to 1 organization
I20240724003920 OR Practitioner - Nurse Practitioner 8224438007 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Marion CountyGroup PAC ID 8123928017, 19 clinicians

Practice addresses (Care Compare)

2045 Silverton Rd NE
Salem, OR 97301-0100
Phone (503) 576-4589

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
95051770CAMDPsychiatric/Mental Health Registered Nurse
95007834CAMDNurse Practitioner
201707000NP-PPORMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Marion County CurrentSince Jul 1, 2024 Accepting new patients
Regents of the University of California CurrentSince May 7, 2021 Accepting new patients
Regents of the University of California CurrentSince May 7, 2021 Accepting new patients
Marion County CurrentSince Jul 1, 2024 Accepting new patients

Locations

File 57326
Los Angeles, CA 90074

140 Arbor Dr
San Diego, CA 92103
Phone (619) 299-3510

200 W Arbor Dr
San Diego, CA 92103
Phone (619) 543-5754

2045 Silverton Rd NE
Salem, OR 97301
Phone (503) 576-4589

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1427760000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1764892800000",
    "number": "1396130050",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1234 COMMERCIAL ST SE # NA",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973024204",
            "telephone_number": "503-585-4949",
            "fax_number": "503-585-4965"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1234 COMMERCIAL ST SE # NA",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973024204",
            "telephone_number": "503-585-4949",
            "fax_number": "503-585-4965"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIEBMAN",
        "first_name": "RACHAEL",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-03-31",
        "last_updated": "2025-12-05",
        "certification_date": "2025-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CA",
            "license": "95051770",
            "primary": false
        },
        {
            "code": "163WP0808X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health",
            "state": "CA",
            "license": "95051770",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "OR",
            "license": "201707000NP-PP",
            "primary": true
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CA",
            "license": "95007834",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Salem, OR

Sources for this page

Verify at the official NPI Registry.