MS. GAIL LORETTA LIEBLANG


Address: 4505 Fair Meadows Ln, Blue Ridge Plaza Suite 204 (unc Clinical Research ), Raleigh, NC 27607-6465
Phone: 9197885335

MS. GAIL LORETTA LIEBLANG (NPI# 1386636702) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1386636702
Entity Type Individual
Full Name MS. GAIL LORETTA LIEBLANG
Credential NP
Practice Address 4505 Fair Meadows Ln
Blue Ridge Plaza Suite 204 (unc Clinical Research )
Raleigh
NC 27607-6465
Mailing Address 1310 Ecola Valley Ct
Wake Forest
NC 27587-4915
Practice Telephone 9197885335
Practice Fax Number 9197885336
Mailing Telephone 9195543794
Enumeration Date 2005-08-22
Last Update Date 2007-07-09
Gender Code F
Is Sole Proprietor X

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363L00000X Nurse Practitioner 200680 NC Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
NC ZF0000133 05

Office Location

Street Address 4505 FAIR MEADOWS LN
BLUE RIDGE PLAZA SUITE 204 (UNC CLINICAL RESEARCH )
City RALEIGH
State NC
Zip Code 27607-6465

Providers in the same location

NPI Name Taxonomy Address Enumeration
1154953875 Kristine Jeter Nurse Practitioner 4505 Fair Meadows Ln, Raleigh, NC 27607-6465 2020-02-11
1063937415 Jill C Vanarthos Physician Assistant 4505 Fair Meadows Ln, Raleigh, NC 27607-6465 2017-08-07
1689107039 Wendy Krull Social Worker 4505 Fair Meadows Ln, Raleigh, NC 27607-6465 2017-04-04
1891226858 Best Day Psychiatry and Counseling, PC Psychiatry & Neurology 4505 Fair Meadows Ln, Suite 102, Raleigh, NC 27607-6465 2017-03-22
1558742692 Monique Link Psychologist 4505 Fair Meadows Ln, Suite 106, Raleigh, NC 27607 2015-06-15
1205216181 Psychological Services of Cindy C. Cottle, Pllc Psychologist 4505 Fair Meadows Ln, Ste 106, Raleigh, NC 27607-6465 2015-06-04
1790054500 Deanna L Towns Counselor 4505 Fair Meadows Ln, Suite 211, Raleigh, NC 27607-6465 2011-12-22
1003024928 Henry H Hancock IIi Dds Ms Pa Dentist 4505 Fair Meadows Ln, Suite 220, Raleigh, NC 27607-6465 2007-05-21
1801000252 William George Bixler Psychologist 4505 Fair Meadows Ln, Suite 106, Raleigh, NC 27607-6465 2007-05-09
1104047877 Carolina Center for Integrative Medicine Preventive Medicine 4505 Fair Meadows Ln, Suite 111, Raleigh, NC 27607-6465 2007-05-01
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1972093144 Kyndra Lawson Behavior Technician 5121 Kingdom Way, Suite 100, Raleigh, NC 27607 2018-05-14
1578082905 Margaret Roberts Bova Dietitian, Registered 4207 Lake Boone Trail, Suite 210, Raleigh, NC 27607 2017-09-18
1184141897 Chricat Garrard Nurse Practitioner 4207 Lake Boone Trl Ste 200, Raleigh, NC 27607 2017-08-23
1487178620 John Patrick Morton Pharmacist 2411 Landmark Dr, Raleigh, NC 27607 2017-07-31
1023538857 Heather Margaret Mazzola Audiologist 7800 Lake Boone Trail, 100, Raleigh, NC 27607 2017-06-22
1790216984 North Carolina Cvs Pharmacy LLC Durable Medical Equipment & Medical Supplies 2411 Landmark Drive, Raleigh, NC 27607 2017-03-21
1558819516 Corilin Nocito Meggitt Nurse Practitioner 4505 Fair Meadows Ln Ste 102, Raleigh, NC 27607 2016-09-19
1942757034 Stacie Walker Obstetrics & Gynecology 4414 Lake Boone Trl Ste 311, Raleigh, NC 27607 2016-09-06
1831644533 Alisa Smajlagic Howe Nurse Practitioner 4210 Lake Boone Trail, Rex Rehab & Nursing Center, Raleigh, NC 27607 2016-08-23
1235598632 Yoseph Saleh Dentist 107 Minden Ln, Raleigh, NC 27607 2016-02-15
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Taxonomy Information

Taxonomy Code 363L00000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner

Taxonomy Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549.

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1891318739 Christopher Paul Murphy Nurse Practitioner 11200 Governor Manly Way Ste 23, Raleigh, NC 27614-8599 2020-05-27
1669095139 Shannon Yahyapour Nurse Practitioner 1528 Shadowood Ln, Raleigh, NC 27612-5917 2020-05-19
1134752181 Pamela Liane Harris Claxton Nurse Practitioner 3708 San Pablo Dr, Raleigh, NC 27616-4540 2020-02-18
1083253033 Brenda Lee Gartrell Nurse Practitioner 2000 Red Quartz Dr, Raleigh, NC 27610-5634 2019-12-21
1154979227 Bethany Bartholomew Nurse Practitioner 10941 Raven Ridge Rd Ste 201, Raleigh, NC 27614-6487 2019-08-30
1831750181 Becky L Milam Nurse Practitioner 5900 Six Forks Rd Ste 200, Raleigh, NC 27609-8226 2019-06-27
1275034357 Matthew O'donnell Nurse Practitioner 6500 Creedmoor Rd Ste 110, Raleigh, NC 27613-3698 2018-02-23
1356852792 Meredith Tschoke Nurse Practitioner 4505 Falls of Neuse Rd Ste 650, Raleigh, NC 27609-2523 2017-10-12
1992174775 Chun Young Hong Nurse Practitioner 3414 Six Forks Rd., Raleigh, NC 27609 2015-09-22
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Competitor

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City RALEIGH
Zip Code 27607

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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