Melissa N Libby FNP LLC

Primary specialty

Point of ServiceTaxonomy code 305S00000X

License

CNP81250 Issued in ME

Legal business name

MELISSA N LIBBY FNP LLC

Practice address

100 Brickhill Ave
Suite 304
South Portland, ME 04106-1999

Phone

(207) 761-4700

Fax

(207) 761-4744

NPI assigned

Sep 29, 2014

Organization subpart

No

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

Authorized official

Name

Melissa N Libby, FNPNPI 1033170709

Title

President

Phone

(207) 761-4700

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Melissa Nye Libby, FNP

  • Family Nurse Practitioner
  • South Portland, ME
  • NPI 1033170709
  Authorized official Same address or phone
• Jessie M. Reighley, NP

  • Women's Health Nurse Practitioner
  • Yarmouth, ME
  • NPI 1144320300
  NPD (past)

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

{
    "created_epoch": "1411948800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1429142400000",
    "number": "1417350901",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 BRICKHILL AVE",
            "address_2": "SUITE 304",
            "city": "SOUTH PORTLAND",
            "state": "ME",
            "postal_code": "041061999",
            "telephone_number": "207-761-4700",
            "fax_number": "207-761-4744"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 BRICKHILL AVE",
            "address_2": "SUITE 304",
            "city": "SOUTH PORTLAND",
            "state": "ME",
            "postal_code": "041061999",
            "telephone_number": "207-761-4700",
            "fax_number": "207-761-4744"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MELISSA N LIBBY FNP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-09-29",
        "last_updated": "2015-04-16",
        "status": "A",
        "authorized_official_last_name": "LIBBY",
        "authorized_official_first_name": "MELISSA",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "207-761-4700",
        "authorized_official_credential": "FNP"
    },
    "taxonomies": [
        {
            "code": "305S00000X",
            "taxonomy_group": "",
            "desc": "Point of Service",
            "state": "ME",
            "license": "CNP81250",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1417350901",
            "state": "ME"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Stephanie Lynn McLeod-Estevez, LCPC
• Courtney McNamee
• Cynthia Ann McOsker, MA MED CCC-SLP
• Rita McPhillips, LCSW
• Megan Seely
• Thomas Mellow, M.D.
• Lauren Kathryn Anzalone Menard, NP
• Mikeal Freedom Mercedes, RNFA
• Kayci Mero, ADCA
• Tracey A Merrill, P.T., O.C.S, ATC-L

• Point of Service in South Portland, ME
• Providers in South Portland, ME by specialty
• Point of Service in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.