Active NPI
Jamie Lynn Liebler, CDN
- Registered Dietitian
- Williamsville, NY
National Provider Identifier
1922840859
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 011128-01
- Practice address
- 511 Farber Lakes Dr
Williamsville, NY 14221-5779 - Phone
- (716) 815-4143
- NPI assigned
- Jun 11, 2024
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 011128-01 | NY | Primary |
Addresses
Primary practice location
511 Farber Lakes Dr
Williamsville, NY 14221-5779
Mailing address
338 Goundry St
North Tonawanda, NY 14120-6113
Phone (716) 536-1546
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 011128-01 | NY | MD | Registered Dietitian |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1718064000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1744070400000",
"number": "1922840859",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "338 GOUNDRY ST",
"city": "NORTH TONAWANDA",
"state": "NY",
"postal_code": "141206113",
"telephone_number": "716-536-1546"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "511 FARBER LAKES DR",
"city": "WILLIAMSVILLE",
"state": "NY",
"postal_code": "142215779",
"telephone_number": "716-815-4143"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LIEBLER",
"first_name": "JAMIE",
"middle_name": "LYNN",
"credential": "CDN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-06-11",
"last_updated": "2025-04-08",
"certification_date": "2025-04-08",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "NY",
"license": "011128-01",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Williamsville, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.