Daniel Libby

Primary specialty

AudiologistTaxonomy code 231H00000X

License

AT000575L Issued in PA

Practice address

640 W Dekalb Pike Ste 1221
King of Prussia, PA 19406-5024

Phone

(610) 768-4023

NPI assigned

Sep 28, 2020

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

Specialty

Qualified Audiologist

Education

Drexel University College of Medicine, 1989

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Bde LLC

  • Audiologist
  • King of Prussia, PA
  • NPI 1629680863
  Medicare reassignment NPD

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

{
    "created_epoch": "1601251200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1601251200000",
    "number": "1427665199",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3722 LEHIGH ST STE AND407",
            "city": "WHITEHALL",
            "state": "PA",
            "postal_code": "180523439",
            "telephone_number": "484-387-1065"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "640 W DEKALB PIKE STE 1221",
            "city": "KING OF PRUSSIA",
            "state": "PA",
            "postal_code": "194065024",
            "telephone_number": "610-768-4023"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIBBY",
        "first_name": "DANIEL",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-09-28",
        "last_updated": "2020-09-28",
        "certification_date": "2020-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "PA",
            "license": "AT000575L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shara Levine, PA-C
• Allen-Michael Lewis, LMFT
• Maureen Lewis, CRNP
• Jarvis Li
• Weiguo Victor Li, MD, MPH
• Kaitlin Licciardone, MS, BCBA
• Benjamin Edward Lief, PSY.D.
• Nguyenthuy Lieu
• Life Waves Counseling and Mediation
• Light the Lamp Physical Therapy LLC

• Audiologist in King of Prussia, PA
• Providers in King of Prussia, PA by specialty
• Audiologist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.