Active NPI
Lauren E Liebling, PA-C
- Physician Assistant
- Wenatchee, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA60767794
- Practice address
- 820 N Chelan Ave
Wenatchee, WA 98801-2028 - Phone
- (509) 663-8711
- NPI assigned
- May 13, 2016
- Last updated
- Oct 17, 2024
- 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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA60767794 | WA | Primary |
Addresses
Primary practice location
820 N Chelan Ave
Wenatchee, WA 98801-2028
Mailing address
820 N Chelan Ave
Wenatchee, WA 98801-2028
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| G8970443 | Other | WA | WVH MEDICARE PTAN |
| 1639525132 | Medicaid | WA | |
| G8970444 | Other | WA | WVH MEDICARE PTAN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA60767794 | WA | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Chelan County Public Hospital District No. 1 | Current | Accepting new patients | |
| Central Washington Health Services Association | Current | Accepting new patients | |
| Ozark Tri-County Health Care Consortium | Past | Accepting new patients |
Locations
817 Commercial St
Leavenworth, WA 98826
Phone (509) 548-3420
17 S Western Ave
Tonasket, WA 98855
Phone (509) 486-2174
1201 S Miller St
Wenatchee, WA 98801
Phone (509) 662-2208
820 N Chelan Ave
Wenatchee, WA 98801
Phone (509) 863-4868
933 Red Apple Rd
Wenatchee, WA 98801
Phone (509) 655-6125
Interoperability endpoints
- lliebling49269@edirect.chehr.org
Organizations & group practices 5
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.
-
dba Confluence Health
- Emergency Medical Services (Emergency Medicine) Physician
- Wenatchee, WA
- NPI 1801937453
-
dba Cascade Medical Center
- Rural Acute Care Hospital
- Leavenworth, WA
- NPI 1962406389
-
dba Confluence Health
- General Acute Care Hospital
- Wenatchee, WA
- NPI 1881642239
-
dba Cascade Medical Center
- Rural Health Clinic/Center
- Leavenworth, WA
- NPI 1437141215
-
dba Access Family Care
- Federally Qualified Health Center (FQHC)
- Joplin, MO
- NPI 1538151733
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1463097600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1729123200000",
"number": "1639525132",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "820 N CHELAN AVE",
"city": "WENATCHEE",
"state": "WA",
"postal_code": "988012028"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "820 N CHELAN AVE",
"city": "WENATCHEE",
"state": "WA",
"postal_code": "988012028",
"telephone_number": "509-663-8711"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LIEBLING",
"first_name": "LAUREN",
"middle_name": "E",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-05-13",
"last_updated": "2024-10-17",
"certification_date": "2024-10-17",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "WA",
"license": "PA60767794",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WVH MEDICARE PTAN",
"identifier": "G8970443",
"state": "WA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1639525132",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WVH MEDICARE PTAN",
"identifier": "G8970444",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Wenatchee, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.