Individual provider Active NPI

Steven Edward Lybarger, RN

  • Registered Nurse
  • San Diego, CA
National Provider Identifier
1952029407
Registry record updated Aug 19, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
1175286 Issued in KY
Practice address
3665 Ruffin Rd
San Diego, CA 92123-1855
Phone
(858) 299-6900
Fax
(858) 227-9777
NPI assigned
Aug 19, 2022
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 19, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 1175286 KY Primary

Addresses

Primary practice location

3665 Ruffin Rd
San Diego, CA 92123-1855

Mailing address

3665 Ruffin Rd Ste 202
San Diego, CA 92123-1882
Phone (858) 299-6900

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address slybarger@abc-seniors.com Health Information Exchange (HIE)
Direct Messaging Address slybarger@abc-seniors.com 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)
Not enrolled
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
1175286KYMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
CDM Living Life, Inc. CurrentSince Aug 28, 2022 Accepting new patients
One Twenty-Seven Inc PastSince Aug 28, 2022 Accepting new patients

Locations

3665 Ruffin Rd
Ste 202
San Diego, CA 92123
Phone (858) 299-6900

Organizations & group practices 2

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": "1660867200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660867200000",
    "number": "1952029407",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3665 RUFFIN RD STE 202",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921231882",
            "telephone_number": "858-299-6900",
            "fax_number": "858-227-6900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3665 RUFFIN RD",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921231855",
            "telephone_number": "858-299-6900",
            "fax_number": "858-227-9777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LYBARGER",
        "first_name": "STEVEN",
        "middle_name": "EDWARD",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-08-19",
        "last_updated": "2022-08-19",
        "certification_date": "2022-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "KY",
            "license": "1175286",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "slybarger@abc-seniors.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "3665 Ruffin Rd Ste 202",
            "city": "San Diego",
            "state": "CA",
            "country_code": "US",
            "postal_code": "921231882",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "slybarger@abc-seniors.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "3665 Ruffin Rd",
            "city": "San Diego",
            "state": "CA",
            "country_code": "US",
            "postal_code": "921231855",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2022; 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.