Individual provider Active NPI

Melissa Lynn Libby, CNM

  • Advanced Practice Midwife
  • Bangor, ME
National Provider Identifier
1427705151
Registry record updated Mar 2, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Advanced Practice MidwifeTaxonomy code 367A00000X
License
CNM222002 Issued in ME
Practice address
700 Mount Hope Ave Ste 420
Bangor, ME 04401-5678
Phone
(207) 947-5337
NPI assigned
Mar 2, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 2, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Advanced Practice Midwife 367A00000X CNM222002 ME Primary

Addresses

Primary practice location

700 Mount Hope Ave Ste 420
Bangor, ME 04401-5678

Mailing address

700 Mount Hope Ave Ste 420
Bangor, ME 04401-5678
Phone (207) 947-5337

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)
Not enrolled
Credentials
Certified Nurse Midwife

State licenses

LicenseStateTypeSpecialty
CNM222002MEMDAdvanced Practice Midwife

Practice roles

OrganizationSpecialtyStatusNew patients
Mabel Wadsworth Women'S Health Center CurrentSince Mar 6, 2022 Accepting new patients

Locations

700 Mount Hope Ave
Ste 420
Bangor, ME 04401
Phone (207) 947-4970

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1646179200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1646179200000",
    "number": "1427705151",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 MOUNT HOPE AVE STE 420",
            "city": "BANGOR",
            "state": "ME",
            "postal_code": "044015678",
            "telephone_number": "207-947-5337"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 MOUNT HOPE AVE STE 420",
            "city": "BANGOR",
            "state": "ME",
            "postal_code": "044015678",
            "telephone_number": "207-947-5337"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIBBY",
        "first_name": "MELISSA",
        "middle_name": "LYNN",
        "credential": "CNM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-03-02",
        "last_updated": "2022-03-02",
        "certification_date": "2022-03-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "ME",
            "license": "CNM222002",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bangor, ME

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2022; 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.