Jazmine Simone Liboon
Individual provider Active NPI Advanced Practice Midwife · Kernersville, NC
NPI 1831966100 · NPPES record last updated Jan 12, 2026
Key facts
- NPI
- 1831966100
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Advanced Practice Midwife 367A00000X
- License
- 932 (NC)
- Practice address
- 1635 NC Highway 66 S Ste 245
Kernersville, NC 27284-3855 - Phone
- (336) 992-5120
- Fax
- (336) 995-5122
- NPI assigned
- Dec 7, 2023
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 13
Medicare Care Compare profile
- Specialty
- Certified Nurse Midwife (CNM)
- Education
- Other, 2024
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- The Moses H Cone Memorial Hospital Operating Corporation
Practice addresses (Care Compare)
930 3Rd St
Greensboro, NC 27405-6967
Phone (336) 890-3200
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NC
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20241023003736 | NC | Practitioner - Certified Nurse Midwife (CNM) | 2264965664 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Certified Nurse Midwife
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 932 | NC | MD | Acupuncturist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Moses H Cone Memorial Hospital Operating Corporation | Current |
Accepting new patients | |
| Duke Health Integrated Practice, Inc. | Current |
Accepting new patients | |
| The Moses H Cone Memorial Hospital Operating Corporation | Current |
Accepting new patients | |
| The Moses H. Cone Memorial Hospital Operating Corporation | Past | Accepting new patients |
Locations
1234 Huffman Mill Rd
Burlington, NC 27215
Phone (336) 538-1234
40 Duke Medicine Cir
Durham, NC 27710
Phone (919) 681-6588
930 3rd St
Greensboro, NC 27405
Phone (336) 610-3720
1200 N Elm St
Greensboro, NC 27401
Phone (336) 574-7000
3518 Drawbridge Pkwy
Ste 310
Greensboro, NC 27410
Phone (336) 890-3180
520 N Elam Ave
Fl 1
Greensboro, NC 27403
Phone (336) 389-9898
802 Green Valley Rd
Ste 200
Greensboro, NC 27408
Phone (336) 370-0277
2630 Willard Dairy Rd
Ste 205
High Point, NC 27265
Phone (336) 884-3666
1635 NC Highway 66 S
Ste 245
Kernersville, NC 27284
Phone (336) 992-5120
Interoperability endpoints
- jliboon722426@direct.conehealth.com
- jliboon590107@direct.medicine.duke.edu
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Advanced Practice Midwife | 367A00000X | 932 | NC | Yes |
| Student in an Organized Health Care Education/Training Program | 390200000X |
Addresses
Primary practice location
1635 NC Highway 66 S Ste 245
Kernersville, NC 27284-3855
Mailing address
East Carolina University College of Nursing
600 Moye Blvd.
Greenville, NC 27834
Other practice location 1
East Carolina University College of Nursing
600 Moye Blvd.
Greenville, NC 27834
Phone (252) 744-6478
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | jliboon722426@direct.conehealth.com | Direct |
NPI Registry JSON
{
"created_epoch": "1701907200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1768176000000",
"number": "1831966100",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "EAST CAROLINA UNIVERSITY COLLEGE OF NURSING",
"address_2": "600 MOYE BLVD.",
"city": "GREENVILLE",
"state": "NC",
"postal_code": "27834"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1635 NC HIGHWAY 66 S STE 245",
"city": "KERNERSVILLE",
"state": "NC",
"postal_code": "272843855",
"telephone_number": "336-992-5120",
"fax_number": "336-995-5122"
}
],
"practiceLocations": [
{
"address_1": "East Carolina University College of Nursing",
"address_2": "600 Moye Blvd.",
"address_purpose": "LOCATION",
"city": "Greenville",
"state": "NC",
"postal_code": "27834",
"country_code": "US",
"telephone_number": "252-744-6478",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LIBOON",
"first_name": "JAZMINE",
"middle_name": "SIMONE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-12-07",
"last_updated": "2026-01-12",
"certification_date": "2026-01-12",
"status": "A"
},
"taxonomies": [
{
"code": "367A00000X",
"taxonomy_group": "",
"desc": "Advanced Practice Midwife",
"state": "NC",
"license": "932",
"primary": true
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "jliboon722426@direct.conehealth.com",
"affiliation": "N",
"endpointDescription": "Cone Health Direct Messaging",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "1635 Nc Highway 66 S Ste 245",
"city": "Kernersville",
"state": "NC",
"country_code": "US",
"postal_code": "272843855",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Kernersville, NC
- Matthew Evan Levy
- Kayla Bailey Lewallen
- Anderia Shantel Lewis
- Roy Otis Lewter
- Liberty Healthcare Group, LLC
- Lifeworks Behavioral Solutions
- Liggins Family Care Kernersville Center
- Grace Ellen Ligon
- Lindsey M Metcalf DDS PLLC
- Tywan J Lindsey
All providers in Kernersville, NC · Advanced Practice Midwife in North Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 12, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.