BROOKLYN LIBERATO
NPI 1912701780
Dietitian, Registered in Mount Vernon, WA

Q: What is Brooklyn Liberato's NPI number?

The NPI number for Brooklyn Liberato is 1912701780. It was assigned to this individual provider in the NPPES registry on April 2, 2025.

Q: What is Brooklyn Liberato's specialty?

The primary specialty registered for this NPI is Dietitian, Registered with taxonomy code 133V00000X.

Q: When was this NPI record last updated?

The NPPES record for Brooklyn Liberato was last updated on April 16, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 months 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.

Active since April 02, 2025Accepts Medicare Assignment

2320 FREEWAY DR, MOUNT VERNON, WA 98273(360) 814-8242 Get Directions Write a Review

NPPES record last updated: April 16, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

On this page

About Brooklyn Liberato NPPES

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

BROOKLYN LIBERATO (NPI 1912701780) is an individual dietitian, registered in Mount Vernon, Washington, licensed in Washington (DI61524198) and active in the NPI registry since April 2025. She is affiliated with Skagit Valley Hospital and is a graduate of Other (2021).

NPPES Registry Identity

NPI1912701780

Entity TypeIndividualFemale

Primary Taxonomy133V00000X

Provider Legal NameBROOKLYN LIBERATO

Location Address2320 FREEWAY DRMount Vernon, WA 98273-5445

Mailing Address1400 E Kincaid StMount Vernon, WA 98274-4127

Phone(360) 814-8242

Sole ProprietorNo

Medical School CMSOtherGraduated 2021

Enumeration DateApril 2, 2025

Last NPPES UpdateApril 16, 2025

NPPES CertifiedApril 16, 2025

✔ NPI 1912701780 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDietitian, RegisteredDietary & Nutritional Service Providers

Taxonomy Code133V00000X

License✔ Licensed in WA · DI61524198

Definition

A Registered Dietitian (RD)/Registered Dietitian Nutritionist (RDN) is an individual uniquely trained in the science of nutrition and practice of dietetics to design and provide medical nutrition therapy (MNT) and other evidence-based applications of the Nutrition Care Process (NCP) that exemplify the profession's systematic approach to providing high quality nutrition care. Registered dietitians provide MNT for the purpose of disease prevention or management, or to treat or rehabilitate an illness, injury, or condition, with the use of specific, indicated physical and cognitive nutrition care services comprised of one or more of the following aspects of the NCP: nutrition assessment/reassessment, nutrition diagnosis, nutrition intervention (e.g., nutrition counseling, therapeutic diet ordering, and nutrition education) and nutrition monitoring and evaluation.

2320 FREEWAY DR, Mount Vernon, WA 98273

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Premera Blue Cross Blue Shield of Alaska, Providence Health Plan.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Brooklyn Liberato is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID4587180252

PECOS Enrollment IDI20250424003635

Medicare Billing Reassignment

Medicare enrollment records show Brooklyn Liberato reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Public Hospital Dist No 1 Skagit

1.2 mi

Physical Therapist

1901 HOAG ROAD, SUITE B
Mount Vernon, WA 98273

Reassigned Medicare billing, Washington enrollment
463 clinicians in this Medicare group

NPI 1811460652 (360) 814-2184

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Skagit Valley Hospital

Acute Care Hospitals · Mount Vernon, WA

3/5 CMS rating

OwnershipGovernment - Hospital District or Authority

CMS Certification Number500003

Location1415 E Kincaid StreetMount Vernon, WA 98274 · Skagit County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 98273 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$0.00 typical visit price

range $57.27 – $172.80

Typical copayment $0.00 (range $14.31 – $43.20)

Most-billed visit code NA

Established Patient

$100.78 typical visit price

range $18.56 – $141.11

Typical copayment $25.19 (range $4.64 – $35.27)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

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

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