Active NPI
Karen Cerjak Liberatore, CRNA
- Certified Registered Nurse Anesthetist
- West Columbia, SC
National Provider Identifier
1407997083
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- APN 1426
- Practice address
- 2720 Sunset Blvd
West Columbia, SC 29169-4810 - Phone
- (803) 791-2000
- NPI assigned
- Feb 8, 2007
- Last updated
- Oct 15, 2007
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | APN 1426 | SC | Primary |
Addresses
Primary practice location
2720 Sunset Blvd
West Columbia, SC 29169-4810
Mailing address
2720 Sunset Blvd
Attn Credentialing
West Columbia, SC 29169-4810
Phone (803) 936-7679
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| AN1034 | Medicaid | SC |
Other names 1
- Karen Cerjak
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| APN 1426 | SC | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tuomey Anesthesia | Nurse Anesthetist, Certified Registered | Past | Accepting new patients |
| Gate City Anesthesia, Inc | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Certified Registered Nurse Anesthetist
- Sumter, SC
- NPI 1154366359
Nurse Anesthetist, Certified Registered
-
- Pain Medicine (Anesthesiology) Physician
- Greensboro, NC
- NPI 1225135361
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170892800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1192406400000",
"number": "1407997083",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2720 SUNSET BLVD",
"address_2": "ATTN CREDENTIALING",
"city": "WEST COLUMBIA",
"state": "SC",
"postal_code": "291694810",
"telephone_number": "803-936-7679"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2720 SUNSET BLVD",
"city": "WEST COLUMBIA",
"state": "SC",
"postal_code": "291694810",
"telephone_number": "803-791-2000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LIBERATORE",
"first_name": "KAREN",
"middle_name": "CERJAK",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-02-08",
"last_updated": "2007-10-15",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "SC",
"license": "APN 1426",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "AN1034",
"state": "SC"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "KAREN",
"last_name": "CERJAK",
"credential": "CRNA",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in West Columbia, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.