Active NPI
Sarah Liljeberg
- Nurse Practitioner
- Federal Way, WA
National Provider Identifier
1447647201
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 209.012277
- Practice address
- 505 S 336TH St Ste 500
Federal Way, WA 98003-8300 - Phone
- (206) 962-3535
- NPI assigned
- Apr 20, 2015
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 209.012277 | IL | Primary |
Addresses
Primary practice location
505 S 336TH St Ste 500
Federal Way, WA 98003-8300
Mailing address
11 Roanoke CT
Bolingbrook, IL 60440-1463
Phone (630) 234-6487
Other practice location 1
25 N Winfield Road
Ste 420
Winfield, IL 60190-1295
Phone (630) 933-4847
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL, WA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 209.012277 | IL | MD | Nurse Practitioner |
Interoperability endpoints
- sliljeberg@landmarkhealth-direct.org
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": "1429488000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1652832000000",
"number": "1447647201",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11 ROANOKE CT",
"city": "BOLINGBROOK",
"state": "IL",
"postal_code": "604401463",
"telephone_number": "630-234-6487",
"fax_number": "847-298-6449"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "505 S 336TH ST STE 500",
"city": "FEDERAL WAY",
"state": "WA",
"postal_code": "980038300",
"telephone_number": "206-962-3535"
}
],
"practiceLocations": [
{
"address_1": "25 N Winfield Road",
"address_2": "Ste 420",
"address_purpose": "LOCATION",
"city": "Winfield",
"state": "IL",
"postal_code": "601901295",
"country_code": "US",
"telephone_number": "630-933-4847",
"fax_number": "630-933-3826",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LILJEBERG",
"first_name": "SARAH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-04-20",
"last_updated": "2022-05-18",
"certification_date": "2022-05-18",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "IL",
"license": "209.012277",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Federal Way, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.