Martha M Libster, PHD, RN, CNS, AHN-BC

Primary specialty

Psychiatric/Mental Health Clinical Nurse SpecialistTaxonomy code 364SP0808X

License

210571 Issued in NC

Practice address

4304 W Church St
Farmville, NC 27828-1693

Phone

(252) 753-3039

Fax

(252) 753-3059

NPI assigned

Mar 28, 2011

Sex

Female

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Certified Nurse Specialist, Doctor of Philosophy, Registered Nurse

State licenses

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

{
    "created_epoch": "1301270400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1301270400000",
    "number": "1467741603",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4304 W CHURCH ST",
            "city": "FARMVILLE",
            "state": "NC",
            "postal_code": "278281693",
            "telephone_number": "252-753-3039",
            "fax_number": "252-753-3059"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4304 W CHURCH ST",
            "city": "FARMVILLE",
            "state": "NC",
            "postal_code": "278281693",
            "telephone_number": "252-753-3039",
            "fax_number": "252-753-3059"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIBSTER",
        "first_name": "MARTHA",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "PHD, RN, CNS, AHN-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-03-28",
        "last_updated": "2011-03-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "364SP0808X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Psychiatric/Mental Health",
            "state": "NC",
            "license": "210571",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Psychiatric/Mental Health Clinical Nurse Specialist in Farmville, NC
• Providers in Farmville, NC by specialty
• Psychiatric/Mental Health Clinical Nurse Specialist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2011; 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.