Individual provider Active NPI

Kristi Lynn Irish Liebowitz, NP

  • Family Nurse Practitioner
  • Wappingers Falls, NY
National Provider Identifier
1518667963
Registry record updated Mar 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
F01231460 Issued in NY
Practice address
942 Route 376
Wappingers Falls, NY 12590-6483
Phone
(845) 223-8080
NPI assigned
Mar 6, 2023
Last updated
Mar 6, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 6, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X F01231460 NY Primary

Addresses

Primary practice location

942 Route 376
Wappingers Falls, NY 12590-6483

Mailing address

159 Diddell Rd
Wappingers Falls, NY 12590-6228

Other names 1

  • Kristi Lynn Irish Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230711001048 NY Practitioner - Nurse Practitioner 5294194197 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

942 Route 376
Suite 16
Wappingers Falls, NY 12590-6484
Phone (845) 223-8080

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
81.38 of 100Reported as group
Quality
63.01
Promoting interoperability
98
Improvement activities
40
Cost
72.3

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
F01231460NYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Nuvance Health Medical Practice PC CurrentSince Jun 4, 2023 Accepting new patients

Locations

200 Westage Business Ctr Dr
Ste 240
Fishkill, NY 12524
Phone (845) 896-8784

1100 Route 55
Ste 101
Lagrangeville, NY 12540
Phone (845) 471-2423

45 Reade Pl
Fl 2
Poughkeepsie, NY 12601
Phone (845) 483-6001

942 Route 376
Wappingers Falls, NY 12590
Phone (845) 223-8080

942 Route 376
Ste 16
Wappingers Fl, NY 12590
Phone (845) 223-8080

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1678060800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678060800000",
    "number": "1518667963",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "159 DIDDELL RD",
            "city": "WAPPINGERS FALLS",
            "state": "NY",
            "postal_code": "125906228"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "942 ROUTE 376",
            "city": "WAPPINGERS FALLS",
            "state": "NY",
            "postal_code": "125906483",
            "telephone_number": "845-223-8080"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IRISH LIEBOWITZ",
        "first_name": "KRISTI",
        "middle_name": "LYNN",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-03-06",
        "last_updated": "2023-03-06",
        "certification_date": "2023-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "F01231460",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KRISTI",
            "last_name": "IRISH",
            "middle_name": "LYNN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Wappingers Falls, NY

Sources for this page

Verify at the official NPI Registry.