ANGELA NAOMI LYBBERT PA-C NPI 1801907621

NPI Information

NPI: 1801907621
Provider Name: ANGELA NAOMI LYBBERT, PA-C
Classification: Physician Assistant - 363AM0700X
Entity Type: Individual

Specialization: Medical

Organization: VESNA JAMBORCIC, MD A PROFESSIONAL CORPORATION

PECOS Registration: Yes

Address:
4270 S DECATUR BLVD STE B5
LAS VEGAS, NV
ZIP 89103
Phone: (725) 220-4200
Get Directions

Angela Naomi Lybbert, PA-C is a medical physician assistant in Las Vegas, NV with 24 years of experience. Angela Naomi Lybbert, PA-C NPI is 1801907621. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

4270 S DECATUR BLVD STE B5
LAS VEGAS, NV
ZIP 89103-802
Phone: (725) 220-4200
Fax: (725) 220-4199

The NPI 1801907621 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 8/31/2006 and was last updated on 5/6/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363AM0700X	Physician Assistant	Medical	PA685	NEVADA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	100510051	MEDICAID	NEVADA
2	NV1360	OTHER	NEVADA	ANTHEM BCBS NV GROUP
3	002402137	MEDICAID	NEVADA
4	CC9894	OTHER	NEVADA	ANTHEM BCBS NV
5	V103699	OTHER	NEVADA	NV MEDICARE PTAN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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