Libabatu Sulley

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

R225746 Issued in MD

Practice address

11212 Black Foot CT
Beltsville, MD 20705-1492

Phone

(240) 481-8228

NPI assigned

Sep 26, 2023

Last updated

Sep 26, 2023By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in DC, MD2 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

Specialty

Nurse Practitioner

Education

Other, 2023

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Post Acute Health Care Services LLCGroup PAC ID 6204364169, 13 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

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.

• Post Acute Health Care Services LLC

  • Acute Care Nurse Practitioner
  • Pikesville, MD
  • NPI 1982423653

  DC

  Medicare reassignment Care Compare group NPD
• Choice Pain & Rehabilitation Center, LLC

  • Physical Medicine & Rehabilitation Physician
  • Lanham, MD
  • NPI 1568809598

  DC

  Medicare reassignment NPD
• Ghanshyam Gupta, M.D. PC

  • Gastroenterology Physician
  • Rockville, MD
  • NPI 1811009236

  DC

  Medicare reassignment NPD
• Imran H Chowdhury MD PA

  dba Infectious Disease Care Center

  • Infectious Disease Physician
  • Columbia, MD
  • NPI 1699728089

  DC

  Medicare reassignment NPD
• Choice Pain & Rehabilitation Center

  • Pain Medicine (Physical Medicine & Rehabilitation) Physician
  • Newark, DE
  • NPI 1053007898
  NPD

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

{
    "created_epoch": "1695686400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695686400000",
    "number": "1770362154",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11212 BLACK FOOT CT",
            "city": "BELTSVILLE",
            "state": "MD",
            "postal_code": "207051492",
            "telephone_number": "240-481-8228"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11212 BLACK FOOT CT",
            "city": "BELTSVILLE",
            "state": "MD",
            "postal_code": "207051492",
            "telephone_number": "240-481-8228"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SULLEY",
        "first_name": "LIBABATU",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-09-26",
        "last_updated": "2023-09-26",
        "certification_date": "2023-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MD",
            "license": "R225746",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anaya Stenson
• Corrine Stone
• Melissa Goldsholl Strozykowski, PA
• Suburban Medical Laboratory, Inc (Medlab)
• Suita Healthcare Services
• Sunshine Enterprises, LLC (Home Instead Senior Care)
• Khyla Surgeon
• Emily Louise Swecker, M.S.
• Mikenzie Sweeting
• Mariam Syed

• Family Nurse Practitioner in Beltsville, MD
• Providers in Beltsville, MD by specialty
• Family Nurse Practitioner in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2023; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.