Liberty First Health

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

Legal business name

LIBERTY FIRST HEALTH

Practice address

11882 Granite Woods Loop
Venice, FL 34292-4116

Phone

(941) 416-8781

Fax

(941) 214-9709

NPI assigned

Nov 1, 2021

Organization subpart

No

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

Authorized official

Name

Mrs. Travis L Prachar, APRNNPI 1265428973

Title

Owner

Phone

(941) 777-2775

Specialties & licenses 1

Addresses

Tax ID family

Liberty First Health2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Liberty First Health, LLC

  • Health Service Clinic/Center
  • Venice, FL
  • NPI 1609532936
  NPD tax ID

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Travis L Prachar, ARNP

  • Family Nurse Practitioner
  • Venice, FL
  • NPI 1265428973
  NPD Authorized official

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

{
    "created_epoch": "1635724800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1635724800000",
    "number": "1982369401",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11882 GRANITE WOODS LOOP",
            "city": "VENICE",
            "state": "FL",
            "postal_code": "342924116",
            "telephone_number": "941-416-8781",
            "fax_number": "941-214-9709"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11882 GRANITE WOODS LOOP",
            "city": "VENICE",
            "state": "FL",
            "postal_code": "342924116",
            "telephone_number": "941-416-8781",
            "fax_number": "941-214-9709"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIBERTY FIRST HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-11-01",
        "last_updated": "2021-11-01",
        "certification_date": "2021-11-01",
        "status": "A",
        "authorized_official_last_name": "PRACHAR",
        "authorized_official_first_name": "TRAVIS",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "941-777-2775",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "APRN"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jessica Leon
• William M Letson Jr., M.D.
• Evelyn Miranda Levasseur, OTR
• John Braxton Lewis, OD
• Vianna Lexine
• Liberty First Health, LLC
• Chad David Lieser, D.C.
• Allen Lifton, MD
• Robin D. Lifton, M.D.
• Lightshare Behavioral Wellness and Recovery

• Primary Care Clinic/Center in Venice, FL
• Providers in Venice, FL by specialty
• Primary Care Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2021; 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.