Individual provider Active NPI

Mary Margaret Luebben, FNP

  • Family Nurse Practitioner
  • Harrisonburg, VA
National Provider Identifier
1851468631
Registry record updated Nov 13, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
002416541 Issued in VA
Practice address
1790 E Market St
Suite 64B
Harrisonburg, VA 22801-5114
Phone
(540) 564-5622
Fax
(540) 433-0623
NPI assigned
Nov 29, 2006
Last updated
Nov 13, 2012By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 13, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 002416541 VA Primary

Addresses

Primary practice location

1790 E Market St
Suite 64B
Harrisonburg, VA 22801-5114

Mailing address

PO Box 1430
Harrisonburg, VA 22803-1430
Phone (540) 564-7094

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
002416541VAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Sapphire Family Practice Past Accepting new patients

Organizations & group practices 1

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": "1164758400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1352764800000",
    "number": "1851468631",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1430",
            "city": "HARRISONBURG",
            "state": "VA",
            "postal_code": "228031430",
            "telephone_number": "540-564-7094",
            "fax_number": "540-564-7171"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1790 E MARKET ST",
            "address_2": "SUITE 64B",
            "city": "HARRISONBURG",
            "state": "VA",
            "postal_code": "228015114",
            "telephone_number": "540-564-5622",
            "fax_number": "540-433-0623"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUEBBEN",
        "first_name": "MARY",
        "middle_name": "MARGARET",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-29",
        "last_updated": "2012-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VA",
            "license": "002416541",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Harrisonburg, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2012; 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.