Kathyrn Jill Libby

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

95012963 Issued in CA

Practice address

1249 E Ohio Ave
Escondido, CA 92027-3053

Phone

(760) 385-3739

NPI assigned

Oct 22, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Jill Libby Professional name

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1571702400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1571702400000",
    "number": "1427691468",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4614 LEHRER DR",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921171213",
            "telephone_number": "619-804-8823"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1249 E OHIO AVE",
            "city": "ESCONDIDO",
            "state": "CA",
            "postal_code": "920273053",
            "telephone_number": "760-385-3739"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIBBY",
        "first_name": "KATHYRN",
        "middle_name": "JILL",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-10-22",
        "last_updated": "2019-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "95012963",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Athenahealth",
            "affiliation": "N",
            "endpointDescription": "could based Medical records",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1249 E Ohio Ave",
            "city": "Escondido",
            "state": "CA",
            "country_code": "US",
            "postal_code": "920273053",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "JILL",
            "last_name": "LIBBY",
            "credential": "RN, FNP-BC",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Ariel Janee Leyva
• Luis A Leyva Jr.
• Minrong Ren Li
• Yan Li, M.D.
• Liahona Home Health Agency, Inc.
• Martin Liberman
• Megan Licea, RN
• Cyril Licudine
• Elizabeth Ann Liebenberg, P.T.
• Jennifer Lien

• Family Medicine Physician in Escondido, CA
• Providers in Escondido, CA by specialty
• Family Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2019; 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.