Individual provider Active NPI

Jacqueline Sonja Liberman, CRNA

  • Certified Registered Nurse Anesthetist
  • Doral, FL
National Provider Identifier
1902058100
Registry record updated Oct 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
ARNP9278172 Issued in FL
Practice address
8375 NW 53Rd St
Doral, FL 33166-4611
Phone
(305) 689-8375
NPI assigned
Oct 21, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 7, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X ARNP9278172 FL Primary

Addresses

Primary practice location

8375 NW 53Rd St
Doral, FL 33166-4611

Mailing address

8375 NW 53Rd St
Doral, FL 33166-4611
Phone (305) 689-8375

Other practice location 1

5555 Ponce De Leon Blvd
Coral Gables, FL 33146-2513
Phone (305) 689-0695

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090213000044 FL Practitioner - Certified Registered Nurse Anesthetist (Crna) 3274698915 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
University of MiamiGroup PAC ID 3274795109, 2,346 clinicians

Practice addresses (Care Compare)

1400 NW 12TH Ave 1St FLR
Umhc Uhealth Tower
Miami, FL 33136-1003
Phone (305) 243-3734

Merit-based Incentive Payment System (MIPS)

Final score
87.93 of 100Reported as group
Quality
78.79
Promoting interoperability
100
Improvement activities
40
Cost
71.44

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Miami Anesthesia Services LLC Nurse Anesthetist, Certified Registered CurrentSince Feb 1, 2016 Accepting new patients
University of Miami Current Accepting new patients
St Lucie Anesthesia Associates LLC CurrentSince Aug 1, 2015 Accepting new patients
St. Lucie Anesthesia Associates, LLC CurrentSince Aug 1, 2015 Accepting new patients
Miami Beach Anesthesiology Associates Inc CurrentSince Dec 1, 2017 Accepting new patients
Gulfstream Anesthesia Group LLC Nurse Anesthetist, Certified Registered CurrentSince Jul 1, 2015 Accepting new patients
University of Miami CurrentSince Jan 1, 2020 Accepting new patients
Anesthesia Dynamics LLC Nurse Anesthetist, Certified Registered CurrentSince Nov 1, 2020 Accepting new patients

Locations

665 Del Prado Blvd S
Cape Coral, FL 33990
Phone (239) 772-3636

5555 Ponce de Leon Blvd
Coral Gables, FL 33146
Phone (305) 585-1052

6412 W Gulf To Lake Hwy
Crystal River, FL 34429
Phone (352) 563-0023

3650 NW 82nd Ave
Ste 101
Doral, FL 33166
Phone (305) 341-7280

7431 Gladiolus Dr
Fort Myers, FL 33908
Phone (239) 689-7000

4800 NE 20th Ter
Ste 201
Ft Lauderdale, FL 33308
Phone (305) 892-4000

2140 W 68th St
Ste 305
Hialeah, FL 33016
Phone (305) 822-4107

2140 W 68th St
Ste 102
Hialeah, FL 33016
Phone (305) 822-4107

3995 NW Goldenrod Rd
Jensen Beach, FL 34957
Phone (772) 497-0020

8330 Lakewood Ranch Blvd
Lakewood Ranch, FL 34202
Phone (941) 666-8757

5959 NW 7th St
Miami, FL 33126
Phone (305) 264-1000

1611 NW 12th Ave
Miami, FL 33136
Phone (305) 585-6226

1611 NW 12th Ave
#300
Miami, FL 33136
Phone (305) 585-6970

1801 NW 9th Ave
Fl 6
Miami, FL 33136
Phone (305) 355-5006

1400 NW 12th Ave
Fl 3
Miami, FL 33136
Phone (305) 325-5416

8375 NW 53rd St
Miami, FL 33166
Phone (305) 243-1815

4300 Alton Rd
Miami Beach, FL 33140
Phone (305) 481-9776

9333 SW 152nd St
Palmetto Bay, FL 33157
Phone (305) 251-2500

10521 SW Village Center Dr
Ste 104
Port St Lucie, FL 34987
Phone (772) 345-8600

2441 Oak Myrtle Ln
Wesley Chapel, FL 33544
Phone (813) 563-1144

3602 Kyoto Gardens Dr
West Palm Beach, FL 33410
Phone (561) 799-2288

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Organizations & group practices 8

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.

NPI Registry JSON

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

{
    "created_epoch": "1224547200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728259200000",
    "number": "1902058100",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8375 NW 53RD ST",
            "city": "DORAL",
            "state": "FL",
            "postal_code": "331664611",
            "telephone_number": "305-689-8375"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8375 NW 53RD ST",
            "city": "DORAL",
            "state": "FL",
            "postal_code": "331664611",
            "telephone_number": "305-689-8375"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5555 Ponce De Leon Blvd",
            "address_purpose": "LOCATION",
            "city": "Coral Gables",
            "state": "FL",
            "postal_code": "331462513",
            "country_code": "US",
            "telephone_number": "305-689-0695",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LIBERMAN",
        "first_name": "JACQUELINE",
        "middle_name": "SONJA",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-10-21",
        "last_updated": "2024-10-07",
        "certification_date": "2024-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "FL",
            "license": "ARNP9278172",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Doral, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.