Active NPI
Katie M. Liberty, CRNA
- Certified Registered Nurse Anesthetist
- Allentown, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- RN5788641
- Practice address
- 1503 N Cedar Crest Blvd
Allentown, PA 18104-2302 - Phone
- (610) 861-8080
- Fax
- (610) 821-2989
- NPI assigned
- Nov 8, 2010
- Last updated
- Nov 8, 2010
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | RN5788641 | PA | Primary |
Addresses
Primary practice location
1503 N Cedar Crest Blvd
Allentown, PA 18104-2302
Mailing address
2775 Schoenersville Rd
Bethlehem, PA 18017-7307
Phone (610) 861-8080
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA, GA
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
700 Attucks LN
Unit 1B
Hyannis, MA 02601-1813
Phone (781) 585-9522
97 Libbey Pkwy
Suite 300
Weymouth, MA 02189-3110
Phone (781) 331-2922
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN5788641 | PA | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Steward Medical Group, Inc | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| South Suburban Gastroenterology, PC | Current | Accepting new patients | |
| Southcoast Physicians Group, Inc. | Current | Accepting new patients | |
| Steward Medical Group, Inc | Current | Accepting new patients | |
| North American Partners in Anesthesia Massachusetts LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Icon Anesthesia Services of New England LLC | Current | Accepting new patients | |
| On Demand Anesthesia LLC | Current | Accepting new patients | |
| Anesthesia Professionals, Inc. | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Gbaa Holdings, PLLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Premier Anesthesia of Georgia LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Southcoast Physicians Group, Inc. | Current | Accepting new patients | |
| Weymouth Endoscopy, LLC | Past | Accepting new patients |
Locations
11 Upper Riverdale Rd SW
Riverdale, GA 30274
Phone (770) 897-7277
1700 Medical Way
Snellville, GA 30078
Phone (770) 978-4229
45 Discovery Way
#A
Acton, MA 01720
Phone (617) 936-7683
138 Haverhill St
Andover, MA 01810
Phone (978) 296-2302
534 Prospect St
Fall River, MA 02720
Phone (508) 679-7766
795 Middle St
Fall River, MA 02721
Phone (508) 235-5046
700 Attucks Ln
Unit 1B
Hyannis, MA 02601
Phone (508) 367-3557
145 West St
Milford, MA 01757
Phone (508) 381-5600
101 Page St
New Bedford, MA 02740
Phone (508) 961-5425
300D Faunce Corner Rd
North Dartmouth, MA 02747
Phone (508) 998-6683
51 State Rd
North Dartmouth, MA 02747
Phone (508) 994-1400
146 Industrial Park Rd
Plymouth, MA 02360
Phone (508) 833-6000
282 Route 130
Sandwich, MA 02563
Phone (508) 427-3720
440 Swansea Mall Dr
Swansea, MA 02777
Phone (508) 324-1171
88 Washington St
Taunton, MA 02780
Phone (508) 828-7000
1085 Main St
Weymouth, MA 02190
Phone (781) 331-2922
97 Libbey Park
Ste 300
Weymouth, MA 02189
Phone (781) 331-2922
400 10th St E
Waconia, MN 55387
Organizations & group practices 13
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.
-
- Anesthesiology Physician
- Hyannis, MA
- NPI 1639865728
-
- Gastroenterology Physician
- South Weymouth, MA
- NPI 1114948478
-
- Certified Registered Nurse Anesthetist
- Dartmouth, MA
- NPI 1659346443
Nurse Anesthetist, Certified Registered
-
dba Greater Boston Anesthesia Associates
- Anesthesiology Physician
- Acton, MA
- NPI 1790299592
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Middleton, MA
- NPI 1629583323
-
- Anesthesiology Physician
- Fall River, MA
- NPI 1457867020
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Snellville, GA
- NPI 1811403207
Nurse Anesthetist, Certified Registered
-
- Family Medicine Physician
- Fairhaven, MA
- NPI 1336137629
-
- Anesthesiology Physician
- Fall River, MA
- NPI 1043711914
Nurse Anesthetist, Certified Registered
-
- Orthopaedic Surgery Physician
- North Dartmouth, MA
- NPI 1902201536
-
- Specialist
- Brighton, MA
- NPI 1356654495
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1289174400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1289174400000",
"number": "1619278652",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2775 SCHOENERSVILLE RD",
"city": "BETHLEHEM",
"state": "PA",
"postal_code": "180177307",
"telephone_number": "610-861-8080",
"fax_number": "610-861-0854"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1503 N CEDAR CREST BLVD",
"city": "ALLENTOWN",
"state": "PA",
"postal_code": "181042302",
"telephone_number": "610-861-8080",
"fax_number": "610-821-2989"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LIBERTY",
"first_name": "KATIE",
"middle_name": "M.",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-11-08",
"last_updated": "2010-11-08",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "PA",
"license": "RN5788641",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Allentown, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.