Erica Johnson Lybarger, CNM

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

AP60320780 Issued in WA

Practice address

1201 N 175TH St
Shoreline, WA 98133-5064

Phone

(206) 401-3165

Fax

(206) 401-3201

NPI assigned

Nov 19, 2012

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in DC, VA2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 2

Specialty

Nurse Practitioner

Education

Other, 2012

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

The Physician and Midwife Collaborative PracticeGroup PAC ID 0648166405, 21 clinicians

Maryland Physicians Edge LLCGroup PAC ID 5890913503, 73 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Nurse Midwife, Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: erica.lybarger.1@7917.direct.athenahealth.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• The Physician and Midwife Collaborative Practice

  • Obstetrics Physician
  • Alexandria, VA
  • NPI 1831310820

  DC

  Medicare reassignment Care Compare group NPD
• Maryland Physicians Edge LLC

  • Obstetrics & Gynecology Physician
  • Silver Spring, MD
  • NPI 1972922920

  DC, VA

  Medicare reassignment Care Compare group
• The Physician and Midwife Collaborative Practice

  • Obstetrics & Gynecology Physician
  • Lake Ridge, VA
  • NPI 1386829794
  Medicare reassignment
• The Physician and Midwife Collaborative Practice

  • Obstetrics & Gynecology Physician
  • Alexandria, VA
  • NPI 1073799839
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1353283200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1614211200000",
    "number": "1881938512",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5127",
            "city": "EVERETT",
            "state": "WA",
            "postal_code": "982065127"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1201 N 175TH ST",
            "city": "SHORELINE",
            "state": "WA",
            "postal_code": "981335064",
            "telephone_number": "206-401-3165",
            "fax_number": "206-401-3201"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6558 16th Ave SW",
            "address_purpose": "LOCATION",
            "city": "Seattle",
            "state": "WA",
            "postal_code": "981061604",
            "country_code": "US",
            "telephone_number": "303-981-2111",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "900 Pacific Ave Fl 5",
            "address_purpose": "LOCATION",
            "city": "Everett",
            "state": "WA",
            "postal_code": "982014168",
            "country_code": "US",
            "telephone_number": "425-339-5430",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LYBARGER",
        "first_name": "ERICA",
        "middle_name": "JOHNSON",
        "name_prefix": "Mrs.",
        "credential": "CNM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-11-19",
        "last_updated": "2021-02-25",
        "certification_date": "2021-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "WA",
            "license": "AP60320780",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "WA",
            "license": "AP60320780",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2024198",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Karol Ludena, DDS
• Gaia E Lukevich, RNFA
• Carol Joy Lundemo, M.A.
• Amanda Lungren, R.D.N., C.D.
• Tracey Tram Luong, PHARM. D
• Mary Lynch
• Anne Lyons, PT
• Mary Ann Lyons, L.M.F.T., CMHS
• Grace Fuk Wai Ma
• Qianlu Ma

• Nurse Practitioner in Shoreline, WA
• Providers in Shoreline, WA by specialty
• Nurse Practitioner in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.