Deborah E Lieberman, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA.0004499 Issued in CO

Practice address

2900 S College Ave Ste 3G
Fort Collins, CO 80525-2562

Phone

(970) 300-3323

NPI assigned

Apr 6, 2016

Last updated

Dec 7, 2020By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in CO

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

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.

• Thirteenth Moon Midwifery

  dba 13th Moon Midwifery

  • Health Service Clinic/Center
  • Fort Collins, CO
  • NPI 1295023893
  Medicare reassignment NPD
• Dr Karen MD, PLLC

  dba Countercurrent Health

  • Family Medicine Physician
  • Fort Collins, CO
  • NPI 1619352465
  NPD (past)

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

{
    "created_epoch": "1459900800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1607299200000",
    "number": "1639533540",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "416 SCOTT AVE",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805212465",
            "telephone_number": "303-947-9457"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2900 S COLLEGE AVE STE 3G",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805252562",
            "telephone_number": "970-300-3323"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10081 Wadsworth Pkwy Ste 200",
            "address_purpose": "LOCATION",
            "city": "Westminster",
            "state": "CO",
            "postal_code": "800213827",
            "country_code": "US",
            "telephone_number": "303-431-5409",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LIEBERMAN",
        "first_name": "DEBORAH",
        "middle_name": "E",
        "name_prefix": "Mrs.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-04-06",
        "last_updated": "2020-12-07",
        "certification_date": "2020-11-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CO",
            "license": "PA.0004499",
            "primary": true
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "CO",
            "license": "PA.0004499",
            "primary": false
        },
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "CO",
            "license": "PA.0004499",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Qinghua Liang, MD
• Joseph J Librizzi, LCSW
• Amy Marie Lichon, D.O.
• Hayley Liddle
• Justin Kimball Liddle, DMD, CDT
• Lesley Brooke Liebig, PHARM.D.
• Rayne Lieurance
• Life Cycle Counseling and Consulting, PLLC
• Lifescapes Counseling PLLC
• Lifespan Family Chiropractic, LLC

• Physician Assistant in Fort Collins, CO
• Providers in Fort Collins, CO by specialty
• Physician Assistant in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2020; 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.

Verify at the official NPI Registry.