Active NPI
April Anne Liberty, AG-CNS
- Gerontology Clinical Nurse Specialist
- Waterford, MI
National Provider Identifier
1568199115
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gerontology Clinical Nurse Specialist
- License
- 4704300110
- Practice address
- 230 Highgate Ave
Waterford, MI 48327-2578 - Phone
- (586) 855-9370
- NPI assigned
- Aug 3, 2022
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Gerontology Clinical Nurse Specialist | 364SG0600X | 4704300110 | MI | Primary |
Addresses
Primary practice location
230 Highgate Ave
Waterford, MI 48327-2578
Mailing address
230 Highgate Ave
Waterford, MI 48327-2578
Phone (586) 855-9370
Other names 1
- April Anne Archer
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4704300110 | MI | MD | Gerontology Clinical Nurse Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1659484800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1659484800000",
"number": "1568199115",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "230 HIGHGATE AVE",
"city": "WATERFORD",
"state": "MI",
"postal_code": "483272578",
"telephone_number": "586-855-9370"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "230 HIGHGATE AVE",
"city": "WATERFORD",
"state": "MI",
"postal_code": "483272578",
"telephone_number": "586-855-9370"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LIBERTY",
"first_name": "APRIL",
"middle_name": "ANNE",
"credential": "AG-CNS",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-08-03",
"last_updated": "2022-08-03",
"certification_date": "2022-08-03",
"status": "A"
},
"taxonomies": [
{
"code": "364SG0600X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Clinical Nurse Specialist, Gerontology",
"state": "MI",
"license": "4704300110",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "APRIL",
"last_name": "ARCHER",
"middle_name": "ANNE",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Waterford, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 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.