Active NPI
Sally Laliberte, FNP
- Family Nurse Practitioner
- Creedmoor, NC
National Provider Identifier
1851372627
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 200944
- Practice address
- 1614 NC Highway 56
Creedmoor, NC 27522-8297 - Phone
- (919) 575-6103
- Fax
- (919) 575-6817
- NPI assigned
- Nov 9, 2005
- Last updated
- Mar 7, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 200944 | NC | |
| Family Nurse Practitioner | 363LF0000X | 200944 | NC | Primary |
| Dermatology Physician | 207N00000X | 200944 | NC |
Addresses
Primary practice location
1614 NC Highway 56
Creedmoor, NC 27522-8297
Mailing address
2000 Perimeter Park Dr Ste 200
Morrisville, NC 27560-8442
Other practice location 1
110 Professional Park
Oxford, NC 27565-2576
Phone (919) 693-6541
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200944 | Other | NC | NC #LIC |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | slaliberte6883@direct.UNC.nchie.net | Health Information Exchange (HIE) |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 200944 | NC | MD | Dermatology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Central Dermatology Center | Past | Accepting new patients | |
| Rex Hospital, Inc. | Past | Accepting new patients | |
| Rex Hospital Inc | Past | Accepting new patients |
Interoperability endpoints
- https://centralderm.mmi.prod.fhir.ema-api.com/fhir/r4/
- slaliberte6883@direct.unc.nchie.net
Organizations & group practices 3
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.
-
- Specialist
- Chapel Hill, NC
- NPI 1609269398
-
dba North Carolina Heart and Vascular
- Cardiovascular Disease Physician
- Raleigh, NC
- NPI 1972939643
-
dba Rex Nutrition Services
- Nutrition Education Nutritionist
- Raleigh, NC
- NPI 1821472572
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1131494400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1678147200000",
"number": "1851372627",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2000 PERIMETER PARK DR STE 200",
"city": "MORRISVILLE",
"state": "NC",
"postal_code": "275608442"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1614 NC HIGHWAY 56",
"city": "CREEDMOOR",
"state": "NC",
"postal_code": "275228297",
"telephone_number": "919-575-6103",
"fax_number": "919-575-6817"
}
],
"practiceLocations": [
{
"address_1": "110 Professional Park",
"address_purpose": "LOCATION",
"city": "Oxford",
"state": "NC",
"postal_code": "275652576",
"country_code": "US",
"telephone_number": "919-693-6541",
"fax_number": "919-693-7396",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LALIBERTE",
"first_name": "SALLY",
"credential": "FNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-11-09",
"last_updated": "2023-03-07",
"certification_date": "2023-01-03",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "NC",
"license": "200944",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "NC",
"license": "200944",
"primary": true
},
{
"code": "207N00000X",
"taxonomy_group": "",
"desc": "Dermatology",
"state": "NC",
"license": "200944",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NC #LIC",
"identifier": "200944",
"state": "NC"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "slaliberte6883@direct.UNC.nchie.net",
"affiliation": "N",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "CDA/CCD/TXT",
"address_1": "6013 Farrington Rd Ste 101",
"city": "Chapel Hill",
"state": "NC",
"country_code": "US",
"postal_code": "275178173",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Creedmoor, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.