Liberty First Health, LLC

Primary specialty

Health Service Clinic/CenterTaxonomy code 261QH0100X

Legal business name

LIBERTY FIRST HEALTH, LLC

Practice address

329 Nokomis Ave S Ste H
Venice, FL 34285-2418

Phone

(941) 416-8781

Fax

(941) 214-9709

NPI assigned

Nov 10, 2021

Last updated

Jul 9, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Travis L Prachar, APRNNPI 1265428973

Title

Owner

Phone

(941) 777-2775

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Tax ID family

Liberty First Health2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Liberty First Health

  • Primary Care Clinic/Center
  • Venice, FL
  • NPI 1982369401
  NPD tax ID

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Travis L Prachar, ARNP

  • Family Nurse Practitioner
  • Venice, FL
  • NPI 1265428973
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1636502400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1720483200000",
    "number": "1609532936",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "329 NOKOMIS AVE S STE H",
            "city": "VENICE",
            "state": "FL",
            "postal_code": "342852418",
            "telephone_number": "941-777-2775",
            "fax_number": "941-214-9709"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "329 NOKOMIS AVE S STE H",
            "city": "VENICE",
            "state": "FL",
            "postal_code": "342852418",
            "telephone_number": "941-416-8781",
            "fax_number": "941-214-9709"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIBERTY FIRST HEALTH, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-11-10",
        "last_updated": "2024-07-09",
        "certification_date": "2024-07-09",
        "status": "A",
        "authorized_official_last_name": "PRACHAR",
        "authorized_official_first_name": "TRAVIS",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "941-777-2775",
        "authorized_official_credential": "APRN"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• William M Letson Jr., M.D.
• Evelyn Miranda Levasseur, OTR
• John Braxton Lewis, OD
• Vianna Lexine
• Liberty First Health
• Chad David Lieser, D.C.
• Allen Lifton, MD
• Robin D. Lifton, M.D.
• Lightshare Behavioral Wellness and Recovery
• Mary Margaret Lilko, DO

• Health Service Clinic/Center in Venice, FL
• Providers in Venice, FL by specialty
• Health Service Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.