Individual provider Active NPI

Katie M. Liberty, CRNA

  • Certified Registered Nurse Anesthetist
  • Allentown, PA
National Provider Identifier
1619278652
Registry record updated Nov 8, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
RN5788641 Issued in PA
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, 2010By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 8, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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, GA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20121107000039 MA Practitioner - Certified Registered Nurse Anesthetist (Crna) 5294919528 Reassigns benefits to 9 organizations
I20200610000384 GA Practitioner - Certified Registered Nurse Anesthetist (Crna) 5294919528 Reassigns benefits to 1 organization

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
On Demand Anesthesia LLCGroup PAC ID 0042675662, 20 clinicians
South Suburban Gastroenterology PCGroup PAC ID 9931194412, 50 clinicians

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

LicenseStateTypeSpecialty
RN5788641PAMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Steward Medical Group, Inc Nurse Anesthetist, Certified Registered CurrentSince Jul 1, 2021 Accepting new patients
South Suburban Gastroenterology, PC CurrentSince Nov 11, 2025 Accepting new patients
Southcoast Physicians Group, Inc. CurrentSince May 1, 2021 Accepting new patients
Steward Medical Group, Inc CurrentSince Jul 1, 2021 Accepting new patients
North American Partners in Anesthesia Massachusetts LLC Nurse Anesthetist, Certified Registered CurrentSince Jul 13, 2020 Accepting new patients
Icon Anesthesia Services of New England LLC CurrentSince May 15, 2025 Accepting new patients
On Demand Anesthesia LLC CurrentSince May 1, 2025 Accepting new patients
Anesthesia Professionals, Inc. Nurse Anesthetist, Certified Registered CurrentSince Jan 1, 2021 Accepting new patients
Gbaa Holdings, PLLC Nurse Anesthetist, Certified Registered CurrentSince May 1, 2025 Accepting new patients
Premier Anesthesia of Georgia LLC Nurse Anesthetist, Certified Registered CurrentSince Jan 20, 2020 Accepting new patients
Southcoast Physicians Group, Inc. CurrentSince May 1, 2021 Accepting new patients
Weymouth Endoscopy, LLC PastSince Nov 11, 2025 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.

View all 13

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.

Verify at the official NPI Registry.