Linda Stauff Lieberman, CNM, MSN, NP

Primary specialty

Advanced Practice MidwifeTaxonomy code 367A00000X

License

0088000249N5 NMNP-PP Issued in OR

Practice address

833 NW Buchanan Ave Ste 7
Corvallis, OR 97330-6217

Phone

(541) 753-6000

Fax

(541) 753-6001

NPI assigned

Feb 28, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 5

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Certified Nurse Midwife, Master of Science - Nursing, Nurse Practitioner

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 and National Provider Directory roles.

• Envision Women'S Health and Wellness, LLC

  • Clinic/Center
  • Corvallis, OR
  • NPI 1346680097
  NPD (past) Authorized official

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

{
    "created_epoch": "1172620800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1368576000000",
    "number": "1699803932",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3080 NW AUTUMN ST",
            "city": "CORVALLIS",
            "state": "OR",
            "postal_code": "973303802",
            "telephone_number": "541-753-6000",
            "fax_number": "541-753-6001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "833 NW BUCHANAN AVE STE 7",
            "city": "CORVALLIS",
            "state": "OR",
            "postal_code": "973306217",
            "telephone_number": "541-753-6000",
            "fax_number": "541-753-6001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIEBERMAN",
        "first_name": "LINDA",
        "middle_name": "STAUFF",
        "credential": "CNM, MSN, NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-28",
        "last_updated": "2013-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "OR",
            "license": "088000249RN",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "OR",
            "license": "0088000249N5 NMNP-PP",
            "primary": false
        },
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "OR",
            "license": "0088000249N5 NMNP-PP",
            "primary": true
        },
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "OR",
            "license": "088000249N5",
            "primary": false
        },
        {
            "code": "363LX0001X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Obstetrics & Gynecology",
            "state": "OR",
            "license": "088000249N5",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PACIFICSOURCE",
            "identifier": "20377",
            "state": "OR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "REGENCE BCBS OF OREGON",
            "identifier": "009364000",
            "state": "OR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "276641",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ingrid Li
• Xueer Li
• Isaac Anson Lichtenstein, MD, RN
• Andrew Licon
• Joe Liddell
• Jan E Liebeskind, RN
• Jesse Xuan Liechty
• Sheila Lien
• Christopher Jason Lieuw, MS, ATC
• Tyler J Light

• Advanced Practice Midwife in Corvallis, OR
• Providers in Corvallis, OR by specialty
• Advanced Practice Midwife in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2013; 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.