Anita Liebsch, NURSE PRACTITIONER

Primary specialty

Occupational Health Nurse PractitionerTaxonomy code 363LX0106X

License

120915 Issued in CO

Practice address

3801 Brighton Blvd
Denver, CO 80216-3625

Phone

(303) 299-4528

Fax

(303) 299-4556

NPI assigned

Oct 31, 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)

Enrolled

Credentials

Nurse Practitioner

State licenses

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

{
    "created_epoch": "1320019200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1320019200000",
    "number": "1477839892",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3801 BRIGHTON BLVD",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802163625",
            "telephone_number": "303-299-4528",
            "fax_number": "303-299-4556"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3801 BRIGHTON BLVD",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802163625",
            "telephone_number": "303-299-4528",
            "fax_number": "303-299-4556"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIEBSCH",
        "first_name": "ANITA",
        "name_prefix": "Mrs.",
        "credential": "NURSE PRACTITIONER",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-10-31",
        "last_updated": "2011-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LX0106X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Occupational Health",
            "state": "CO",
            "license": "120915",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jordan Leann Lidstrom, LPC
• Jessica Rae Lieb
• Andrew Michael Lieber, M.D.
• Alison M Lieberman, PSYD
• Daniel Liebowitz
• Mary Kelly Liekis, FNP-C
• Mary Lien, PHARM.D
• Erica L Liesmaki, MD
• Life Balance Practice, LLC
• Life Care Centers of America, Inc.

• All providers in Denver, CO
• Occupational Health Nurse Practitioner in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 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.