Individual provider Active NPI

Karen Lieberman, CRNP

  • Acute Care Nurse Practitioner
  • Chevy Chase, MD
National Provider Identifier
1730325192
Registry record updated Sep 30, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
R072074 Issued in MD
Practice address
5530 Wisconsin Ave Ste 700
Chevy Chase, MD 20815-4401
Phone
(301) 656-5050
Fax
(301) 654-4237
NPI assigned
Jan 6, 2009
Last updated
Sep 30, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 30, 2019

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 R072074 MD Primary

Addresses

Primary practice location

5530 Wisconsin Ave Ste 700
Chevy Chase, MD 20815-4401

Mailing address

5530 Wisconsin Ave Ste 700
Chevy Chase, MD 20815-4401
Phone (301) 656-5050

Other practice location 1

1201 Seven Locks Rd Ste 216
Rockville, MD 20854-2960
Phone (301) 656-5050

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC
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
I20090722000484 DC Practitioner - Nurse Practitioner 8527110592 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse

State licenses

LicenseStateTypeSpecialty
R072074MDMDAcute Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Suburban Physician Assistant Associates, LLC. Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: klieberman157775@direct.hopkinsmedicine.org

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1231200000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1569801600000",
    "number": "1730325192",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5530 WISCONSIN AVE STE 700",
            "city": "CHEVY CHASE",
            "state": "MD",
            "postal_code": "208154401",
            "telephone_number": "301-656-5050",
            "fax_number": "301-654-4237"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5530 WISCONSIN AVE STE 700",
            "city": "CHEVY CHASE",
            "state": "MD",
            "postal_code": "208154401",
            "telephone_number": "301-656-5050",
            "fax_number": "301-654-4237"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1201 Seven Locks Rd Ste 216",
            "address_purpose": "LOCATION",
            "city": "Rockville",
            "state": "MD",
            "postal_code": "208542960",
            "country_code": "US",
            "telephone_number": "301-656-5050",
            "fax_number": "301-654-4237",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LIEBERMAN",
        "first_name": "KAREN",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-01-06",
        "last_updated": "2019-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "MD",
            "license": "R072074",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chevy Chase, MD

Sources for this page

Verify at the official NPI Registry.