Individual provider Active NPI

Victoria Ann Lieb, CRNP

  • Adult Health Nurse Practitioner
  • Easton, PA
National Provider Identifier
1740684224
Registry record updated Sep 20, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
SP013959 Issued in PA
Practice address
1723 Northampton St
Easton, PA 18042-3133
Phone
(610) 253-7211
Fax
(610) 252-8685
NPI assigned
Oct 13, 2014
Last updated
Sep 20, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 20, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X SP013959 PA Primary

Addresses

Primary practice location

1723 Northampton St
Easton, PA 18042-3133

Mailing address

1723 Northampton St
Easton, PA 18042-3133
Phone (610) 253-7211

Other identifiers 1

IdentifierTypeStateIssuer
1029921660001MedicaidPA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, NJ2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20150203002231 PA Practitioner - Nurse Practitioner 3274858758 Reassigns benefits to 2 organizations
I20240508004197 NJ Practitioner - Nurse Practitioner 3274858758 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lehigh Valley Physician GroupGroup PAC ID 3072425123, 2,512 clinicians

Practice addresses (Care Compare)

1210 S Cedar Crest Blvd
Allentown, PA 18103-6235
Phone (610) 402-3888

1627 Chew St
Allentown, PA 18102-3648
Phone (610) 969-2226

1627 W Chew St 3Rd FL
LVPG Mental Health Clinic 17TH St
Allentown, PA 18102-3648
Phone (610) 402-1155

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Signify Health Medical Associates of New Jersey, LLC CurrentSince Apr 6, 2024 Accepting new patients
Lehigh Valley Physician Group CurrentSince Apr 10, 2020 Accepting new patients
Lehigh Valley Physician Group Current Accepting new patients
Signify Health Medical Associates, PLLC CurrentSince Mar 27, 2024 Accepting new patients
Lehigh Valley Physician Group CurrentSince Apr 10, 2020 Accepting new patients
Pulmonary Associates PC Past Accepting new patients

Locations

116 Village Blvd
Ste 200
Princeton, NJ 08540
Phone (609) 650-7800

600 N 2nd St
Ste 401
Harrisburg, PA 17101
Phone (844) 341-2339

4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037

Organizations & group practices 7

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.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1413158400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1474329600000",
    "number": "1740684224",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1723 NORTHAMPTON ST",
            "city": "EASTON",
            "state": "PA",
            "postal_code": "180423133",
            "telephone_number": "610-253-7211",
            "fax_number": "610-252-8685"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1723 NORTHAMPTON ST",
            "city": "EASTON",
            "state": "PA",
            "postal_code": "180423133",
            "telephone_number": "610-253-7211",
            "fax_number": "610-252-8685"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIEB",
        "first_name": "VICTORIA",
        "middle_name": "ANN",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-10-13",
        "last_updated": "2016-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "PA",
            "license": "SP013959",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1029921660001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Easton, PA

Sources for this page

Verify at the official NPI Registry.