LIBERTY MEDICAL CLINIC
NPI 1477844835
Nurse Practitioner - Family in Liberty, KY

Active since April 20, 2011CLIA 18D2023529 · Waiver
108 TAYLOR ST, LIBERTY, KY 42539(606) 706-4265(606) 706-4275 Get Directions Write a Review

NPPES record last updated: October 29, 2013. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Liberty Medical Clinic NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LIBERTY MEDICAL CLINIC (NPI 1477844835) is a healthcare organization registered as a family in Liberty, Kentucky and active in the NPI registry since April 2011. The organization holds a CLIA Waiver certificate valid through April 25, 2027 and lists Vickie L Marple, Nurse Practitioner/owner, as its authorized official.

NPPES Registry Identity

NPI1477844835
Entity TypeOrganization
Primary Taxonomy363LF0000X
Legal Business NameLIBERTY MEDICAL CLINIC
Location Address108 TAYLOR STLiberty, KY 42539-3160
Mailing Address108 Taylor St, P.o. Box 1196Liberty, KY 42539-3160 · (606) 706-4265 · Fax (606) 706-4275
Fax(606) 706-4275
Organization SubpartNo
Authorized OfficialVickie L MarpleNurse Practitioner/owner · (606) 706-4265
Enumeration DateApril 20, 2011
Last NPPES UpdateOctober 29, 2013
NPI 1477844835 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in KY · 3004478
108 TAYLOR ST, Liberty, KY 42539

Other Identifiers 4

Other1447281712KY · Npi
Medicare PIN1447281712
Medicare UPINQ71254
Medicaid7815765KY

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 18D2023529

Liberty Medical Clinic · Liberty, KY
Active · expires Apr 25, 2027
CLIA Number18D2023529
Laboratory TypePractitioner Other
Certificate Effective DateApril 26, 2025
Certificate Expiration DateApril 25, 2027
Laboratory DirectorVickie L. Marple
Laboratory Phone(606) 706-4265
Laboratory LocationLiberty Medical Clinic108 Taylor Street, Liberty, KY 42539
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Practitioner
108 TAYLOR ST
LIBERTY, KY 42539

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Liberty Medical Clinic's NPI number?

The NPI number for Liberty Medical Clinic is 1477844835. It was assigned to this organization in the NPPES registry on April 20, 2011.

Where is Liberty Medical Clinic located?

Liberty Medical Clinic is located at 108 Taylor St, Liberty, KY 42539. The listed phone number is (606) 706-4265.

What is Liberty Medical Clinic's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Does Liberty Medical Clinic hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 18D2023529) is associated with this NPI, valid through April 25, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Liberty Medical Clinic accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Home State Health and Ambetter of Tennessee list Liberty Medical Clinic as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Liberty Medical Clinic was last updated on October 29, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.