MS. CAROL ANN LIBONATI (NPI# 1437376472) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1437376472 |
Entity Type | Individual |
Full Name | MS. CAROL ANN LIBONATI |
Credential | APRN |
Practice Address |
810 Light St. Suite 103 Baltimore MD 21230 |
Mailing Address |
3801 Juniper Rd Baltimore MD 21218-1828 |
Practice Telephone | 4109082099 |
Practice Fax Number | 4102432507 |
Mailing Telephone | 4102438306 |
Mailing Fax Number | 4102432507 |
Enumeration Date | 2007-04-19 |
Last Update Date | 2007-07-08 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 163WP0809X |
Registered Nurse Specialization: Psych/Mental Health, Adult |
R039456 | MD | Nursing Service Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
MD | CIGNA | 1049727 | 01 |
MH | AMERICAN PSYCH SYSTEMS | PVPB101825 | 01 |
MD | COMPSYCH | 167836 | 01 |
MD | VALUE OPTIONS | 002505 | 01 |
MD | CAREFIRST FEDERAL EMPLOYE | G4640001 | 01 |
MD | EMPLOYEE HEALTH PLAN | 23382 | 01 |
MD | MULTIPLAN | 9079442 | 01 |
MD | MAGELLAN | IP 276313 | 01 |
MD | CAREFIRST BLUE CROSS BLUE | PQ02CA | 01 |
MD | MAMSI | 364943 | 01 |
Street Address |
810 LIGHT ST. SUITE 103 |
City | BALTIMORE |
State | MD |
Zip Code | 21230 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1235739558 | Margaret Webb | Registered Nurse | Medstar Health, 1420 Key Highway, Baltimore, MD 21230 | 2020-10-27 |
1497381263 | Hawkes Counseling Services | Counselor | 837 Washington Blvd, Suite B, Baltimore, MD 21230 | 2020-03-12 |
1821570011 | Lisa Le | Social Worker | 1623 Covington St, Baltimore, MD 21230 | 2018-09-04 |
1396237673 | Kinderhealth, LLC | Nurse Practitioner | 10 W West St, Baltimore, MD 21230 | 2018-06-03 |
1144745068 | Charles Billingsley | Counselor | 909 W Barre St, Baltimore, MD 21230 | 2017-08-11 |
1447791058 | Elizabeth Richmond | Nurse Practitioner | 2 East Wells Apt 179, Baltimore, MD 21230 | 2017-03-15 |
1952775389 | Courtney Schwalbe | Speech-Language Pathologist | 600 S Paca Street, Baltimore, MD 21230 | 2015-11-23 |
1093071920 | Glass Health Programs, Inc | Clinic/Center | 1801 Cherry Hill Rd, Baltimore, MD 21230 | 2012-04-04 |
1487937512 | Harris Teeter, LLC | Pharmacy | 1801 Whetstone Way, Baltimore, MD 21230 | 2011-09-26 |
1487980280 | Ife A Thompson | Physician Assistant | 601 S. Charles Street, Baltimore, MD 21230 | 2009-10-29 |
Find all providers in zip 21230 |
Taxonomy Code | 163WP0809X |
Grouping | Nursing Service Providers |
Classification | Registered Nurse |
Specialization | Psych/Mental Health, Adult |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1750943650 | Toyin Atoki | Registered Nurse | 21 Springtide Ct, Baltimore, MD 21220-2374 | 2019-07-01 |
1194286757 | Wendy Christine Shepard | Registered Nurse | 1821 Portal St Ste A, Baltimore, MD 21224-6541 | 2019-03-27 |
1184175697 | Yekeen Odewale | Registered Nurse | 5411 Old Frederick Rd Ste 7, Baltimore, MD 21229 | 2016-10-19 |
1780041012 | Healthwise | Registered Nurse | 2620 N Calvert St, Baltimore, MD 21218-4616 | 2016-01-18 |
1790037398 | Kathryn Gail Crosby | Registered Nurse | 10 E Baltimore St Ste 1400, Baltimore, MD 21202 | 2012-10-05 |
1346703451 | Karen Lee Ball | Registered Nurse | 405 N Caroline St, Baltimore, MD 21231-1003 | 2019-04-08 |
1750844700 | Willie Horne | Registered Nurse | 405 N Caroline St, Baltimore, MD 21231-1003 | 2019-04-08 |
1962962688 | Andrew Hvizdak | Registered Nurse | 701 W Pratt St, Baltimore, MD 21201-1023 | 2019-03-20 |
1013496660 | Yvonne Annette Collins | Registered Nurse | 701 W Pratt St Fl 3, Baltimore, MD 21201-1023 | 2018-08-13 |
1154822500 | Bethany Marie Forshee | Registered Nurse | 701 W Pratt St, Baltimore, MD 21201-1023 | 2018-02-21 |
Find all providers in BALTIMORE |
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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.