Individual provider Active NPI

Martha Kingman Liberty, N.P.

  • Acute Care Nurse Practitioner
  • Dallas, TX
National Provider Identifier
1669675914
Registry record updated Apr 17, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
557107 Issued in TX
Practice address
5939 Harry Hines Blvd
Pob II Suite 603
Dallas, TX 75390-0001
Phone
(214) 645-5505
Fax
(214) 645-5640
NPI assigned
Jun 6, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 17, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X 557107 TX Primary

Addresses

Primary practice location

5939 Harry Hines Blvd
Pob II Suite 603
Dallas, TX 75390-0001

Mailing address

5939 Harry Hines Blvd
Pob II Suite 603
Dallas, TX 75390-0001
Phone (214) 645-5505

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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

Enrollment IDStateProvider typePAC IDDetails
I20040609001132 TX Practitioner - Nurse Practitioner 1850374083 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
82.87 of 100Reported as group
Quality
70.15
Promoting interoperability
100
Improvement activities
40
Cost
72.75

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
The University of Texas Southwestern Medical Center at Dallas CurrentSince Jan 20, 2014 Accepting new patients
University of Texas Southwestern Medical Center at Dallas CurrentSince Jan 20, 2014 Accepting new patients
University of Texas Southwestern Medical Center at Dallas Current Accepting new patients
Southwest Pulmonary Associates Past Accepting new patients

Locations

8220 Walnut Hill Ln
Ste 408
Dallas, TX 75231
Phone (214) 361-9777

5939 Harry Hines Blvd
Ste 711
Dallas, TX 75235
Phone (214) 879-6555

2201 Inwood Rd
Dallas, TX 75235
Phone (214) 645-2563

5939 Harry Hines Blvd
Dallas, TX 75390
Phone (214) 645-3888

3000 N Interstate 35
Denton, TX 76201
Phone (469) 303-3591

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1181088000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1397692800000",
    "number": "1669675914",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5939 HARRY HINES BLVD",
            "address_2": "POB II SUITE 603",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "753900001",
            "telephone_number": "214-645-5505",
            "fax_number": "214-645-5640"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5939 HARRY HINES BLVD",
            "address_2": "POB II SUITE 603",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "753900001",
            "telephone_number": "214-645-5505",
            "fax_number": "214-645-5640"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIBERTY",
        "first_name": "MARTHA",
        "middle_name": "KINGMAN",
        "name_prefix": "Mrs.",
        "credential": "N.P.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-06",
        "last_updated": "2014-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "TX",
            "license": "557107",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

Verify at the official NPI Registry.