Individual provider Active NPI

Sally Laliberte, FNP

  • Family Nurse Practitioner
  • Creedmoor, NC
National Provider Identifier
1851372627
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
200944 Issued in NC
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, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
200944OtherNCNC #LIC

Electronic endpoints 1

TypeEndpointUseAffiliation
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

LicenseStateTypeSpecialty
200944NCMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Central Dermatology Center Past Accepting new patients
Rex Hospital, Inc. Past Accepting new patients
Rex Hospital Inc Past Accepting new patients

Interoperability endpoints

  • FHIR API: https://centralderm.mmi.prod.fhir.ema-api.com/fhir/r4/
  • Direct secure messaging: 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.

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.

Verify at the official NPI Registry.