Individual provider Active NPI

Jazmine Simone Liboon

  • Advanced Practice Midwife
  • Kernersville, NC
National Provider Identifier
1831966100
Registry record updated Jan 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Advanced Practice MidwifeTaxonomy code 367A00000X
License
932 Issued in 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
Last updated
Jan 12, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 12, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Advanced Practice Midwife 367A00000X 932 NC Primary
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 1

TypeEndpointUseAffiliation
Direct Messaging Address jliboon722426@direct.conehealth.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241023003736 NC Practitioner - Certified Nurse Midwife (CNM) 2264965664 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Certified Nurse Midwife (CNM)
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

930 3Rd St
Greensboro, NC 27405-6967
Phone (336) 890-3200

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
932NCMDAcupuncturist

Practice roles

OrganizationSpecialtyStatusNew patients
Duke Health Integrated Practice, Inc. CurrentSince Sep 1, 2024 Accepting new patients
The Moses H Cone Memorial Hospital Operating Corporation CurrentSince Dec 15, 2025 Accepting new patients
The Moses H Cone Memorial Hospital Operating Corporation CurrentSince Dec 15, 2025 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) 681-1300

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

930 3rd St
Greensboro, NC 27405
Phone (336) 610-3720

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

  • Direct secure messaging: jliboon590107@direct.medicine.duke.edu
  • Direct secure messaging: jliboon722426@direct.conehealth.com

Organizations & group practices 4

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": "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

Sources for this page

Verify at the official NPI Registry.