Laura Susan Dibble, M.D.

Primary specialty

Child & Adolescent Psychiatry PhysicianTaxonomy code 2084P0804X

License

204383 Issued in NY

Practice address

555 Warren Rd
TST Boces
Ithaca, NY 14850-1862

Phone

(315) 253-9795

Fax

(315) 253-3255

NPI assigned

Aug 1, 2006

Last updated

Jan 9, 2014By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Interoperability endpoints

• Direct secure messaging: laura.dibble.p1@direct.liberty-resources.nextgenshare.com
• Direct secure messaging: ldibble1@hiemail.healtheconnections.org

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

{
    "created_epoch": "1154390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1389225600000",
    "number": "1629085048",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 295",
            "city": "MANLIUS",
            "state": "NY",
            "postal_code": "131040295",
            "telephone_number": "315-420-3030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "555 WARREN RD",
            "address_2": "TST BOCES",
            "city": "ITHACA",
            "state": "NY",
            "postal_code": "148501862",
            "telephone_number": "315-253-9795",
            "fax_number": "315-253-3255"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIBBLE",
        "first_name": "LAURA",
        "middle_name": "SUSAN",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-01",
        "last_updated": "2014-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NY",
            "license": "204383",
            "primary": false
        },
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "NY",
            "license": "204383",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Srisatish Devapatla, M.D., FAAP
• Chris Devenpeck, DDS
• Bradley Thomas Dewitt, PA-C
• Diane J Reppert Chiropractor PLLC
• Debra Jean Dibartolo, FNP, PMHNP
• Jessica Lynn Dibona, PHARMD
• Julie Ann Dickens, RN
• Dana Dicostanzo, N.P.
• Adam Joseph Diemar, BSW
• Margaret Jane Dieter, L.C.S.W.

• Child & Adolescent Psychiatry Physician in Ithaca, NY
• Providers in Ithaca, NY by specialty
• Child & Adolescent Psychiatry Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.