Individual provider Active NPI

Erica Liebermann, NP

  • Women's Health Nurse Practitioner
  • Springfield, MA
National Provider Identifier
1417013228
Registry record updated Jul 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Women's Health Nurse PractitionerTaxonomy code 363LW0102X
License
236706 Issued in MA
Practice address
3455 Main St Ste C
Springfield, MA 01107-1187
Phone
(413) 794-8484
Fax
(413) 794-8477
NPI assigned
Dec 28, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 25, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Women's Health Nurse Practitioner 363LW0102X 236706 MA Primary

Addresses

Primary practice location

3455 Main St Ste C
Springfield, MA 01107-1187

Mailing address

61 Locust St
Northampton, MA 01060-2018
Phone (413) 584-2303

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
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 1

Enrollment IDStateProvider typePAC IDDetails
I20040729000460 MA Practitioner - Nurse Practitioner 7214907955 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Baystate OB/GYN Group IncGroup PAC ID 1153392659, 20 clinicians

Practice addresses (Care Compare)

3455 Main St
Suite C
Springfield, MA 01107-1187
Phone (413) 794-8484

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
236706MAMDWomen's Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Baystate OB/GYN Group Inc CurrentSince Oct 21, 2019 Accepting new patients
Urology Group of Western New England, P.C. PastSince Sep 1, 2009 Accepting new patients
Planned Parenthood League of Massachusetts, Inc. Past Accepting new patients
Center for Pelvic Physical Therapy, LLC PastSince Oct 21, 2019 Accepting new patients

Locations

470 Granby Rd
South Hadley, MA 01075
Phone (413) 533-3926

3455 Main St
Ste C
Springfield, MA 01107
Phone (413) 794-8484

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/12089/brand/1/csg/1/fhir/r4
  • Direct secure messaging: erica.liebermann.1@12089.direct.athenahealth.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1167264000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753401600000",
    "number": "1417013228",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "61 LOCUST ST",
            "city": "NORTHAMPTON",
            "state": "MA",
            "postal_code": "010602018",
            "telephone_number": "413-584-2303"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3455 MAIN ST STE C",
            "city": "SPRINGFIELD",
            "state": "MA",
            "postal_code": "011071187",
            "telephone_number": "413-794-8484",
            "fax_number": "413-794-8477"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIEBERMANN",
        "first_name": "ERICA",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-28",
        "last_updated": "2025-07-25",
        "certification_date": "2025-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "MA",
            "license": "236706",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Springfield, MA

Sources for this page

Verify at the official NPI Registry.