Elizabeth Ann Lebert, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

086000225N1 FNP-PP Issued in OR

Practice address

6327 SE Milwaukie Ave
Portland, OR 97202-5418

Phone

(503) 659-4988

Fax

(503) 353-1297

NPI assigned

Jan 17, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Beth A. Lebert Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

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.

• James Nichols MD, LTD.

  • Primary Care Clinic/Center
  • Phoenix, AZ
  • NPI 1235338054
  NPD (past)
• Jill E Kerr, D. O. P.C.

  • Family Medicine Physician
  • Phoenix, AZ
  • NPI 1295917508
  NPD (past)

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

{
    "created_epoch": "1137456000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1310515200000",
    "number": "1821077959",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 22075",
            "city": "MILWAUKIE",
            "state": "OR",
            "postal_code": "972692075",
            "telephone_number": "503-659-4777",
            "fax_number": "503-652-5223"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6327 SE MILWAUKIE AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972025418",
            "telephone_number": "503-659-4988",
            "fax_number": "503-353-1297"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEBERT",
        "first_name": "ELIZABETH",
        "middle_name": "ANN",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-17",
        "last_updated": "2011-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OR",
            "license": "086000225N1 FNP-PP",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "231448",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BETH",
            "last_name": "LEBERT",
            "middle_name": "A.",
            "credential": "FNP",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Megan Jane Lebas, L.AC
• Shawna Lebechuck-Fisk, DENTAL ASSISTANT
• Sara Alexandra Lebeck
• Alle Nichole Leber, LPC
• Rachel Leber, ND
• Benjamin H Leblanc, MD
• Bruce David Leblanc, CADC-R; QMPH-R
• Corinne Leblanc, LAC.
• Erin Scalley Leblanc, MD
• Grant Michael Leblanc

• Family Nurse Practitioner in Portland, OR
• Providers in Portland, OR by specialty
• Family Nurse Practitioner in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2011; 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.