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Lydia Kay Libutti , FNP-C

Nurse Practitioner β€’ Providence, RI

Active NPI 1003623356 Individual Practitioner Female Practitioner Accepts Medicare assignment Telehealth (some services)
Practice location in NPPES

593 Eddy St Bsmt Apc
Providence, RI 029034923

Call 4014448311 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

593 Eddy St Bsmt Apc

Providence, RI 029034923

Telephone 4014448311
Organization at the Same NPPES Address or Phone

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Other Listings in Public Data

NPPES lists 1 additional practice-address record in Providence, RI. See the list

Source: CMS NPPES NPI Registry, practice location records; release date unavailable.

CMS Doctors and Clinicians lists 1 group name: Rhode Island Hospital. See the list

Source: CMS Doctors and Clinicians National Downloadable File, release date unavailable.

Listings do not confirm current availability, employment or a shared ownership network.

Medicare Profile & Education

Source: CMS Doctors and Clinicians National Downloadable File

Graduation Year

2024

Industry payments (Open Payments)

No Open Payments records are listed for this clinician for 2021–2025.

Guide: How to read an Open Payments record

Years since graduation

2 years (graduated 2024)

CMS Doctors and Clinicians data list 2024 as the year this clinician finished professional school.

What this does not show: Years since graduation

It is not the number of years in practice, and more years does not mean better care.

Source: CMS Doctors and Clinicians National Downloadable File.

NPI first issued

2024

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Accepts Medicare assignment

CMS data list this clinician as accepting Medicare assignment. This means agreeing to take the Medicare-approved amount as full payment for covered services.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

Telehealth (some services)

Recent Medicare claims show this clinician provided some services by telehealth, such as a video or phone visit.

What this does not show: Telehealth (some services)

It does not mean all services are offered by telehealth, or that telehealth is covered by your plan.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Enrolled in Medicare (PECOS)

Lydia Libutti has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.

It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What Medicare enrollment (PECOS) means

Can order Medicare-covered services

CMS lists Lydia Libutti as eligible to order or refer Medicare Part B clinical laboratory and imaging services, durable medical equipment (DME) and home health services for people with Medicare.

What this does not show: Can order Medicare-covered services

It does not mean the clinician offers these services directly.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What ordering and referring status means

Compared with the same specialty in Providence and Rhode Island

173 active clinicians are listed under Nurse Practitioner with a practice address in Providence, RI (391 in Rhode Island).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Providence

16.2% of these 173 clinicians have the CMS telehealth indicator.

55.5% of these 173 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2025-07-15
Nurse Practitioner Primary Specialty

NUCC Taxonomy Code: 363L00000X

License # reported to NPPES RI APRN04362

(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.

Nurse Practitioner - Family

NUCC Taxonomy Code: 363LF0000X

License # reported to NPPES MA RN2336344
Nurse Practitioner - Family

NUCC Taxonomy Code: 363LF0000X

License # reported to NPPES RI APRN04362
Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Rhode Island State Medical Licensing Board.
Look Up on State Board Site

Medicare (PECOS) Enrollment & Ordering Eligibility

Source: CMS PECOS
Medicare FFS Enrollment Status Medicare Enrollment on File
CMS Provider Specialty

PRACTITIONER - NURSE PRACTITIONER

Medicare Enrollment ID

I20250808000289

Enrollment State Jurisdiction

RI

PECOS Control ID

0547768632

Medicare Order & Referring Eligibility
Clinical Lab & Imaging (Part B) Eligible
Durable Medical Equipment (DME) Eligible
Home Health Agency (HHA) Eligible
Power Mobility Devices (PMD) Eligible

Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.

Medicare Group Practice Enrollments

Source: CMS Doctors and Clinicians National Downloadable File

Rhode Island Hospital

593 Eddy St, Providence, RI 029034923

Phone: 4014448311

Secondary Practice Locations

164 Summit Ave

Providence, RI 029062853

Phone: 4017932920

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

9 listed
Dr. Thomas Dipetrillo , MD

Radiology - Radiation Oncology

NPI 1881651941

Doctor of Medicine (M.D.)

Dr. Jonathan Glanzman , MD

Radiology - Radiation Oncology

NPI 1649533175

Doctor of Medicine (M.D.)

Dr. Andrew Kopecky , MD

Radiology - Radiation Oncology

NPI 1528527645

Doctor of Medicine (M.D.)

Dr. Kara Leonard , MD

Radiology - Radiation Oncology

NPI 1023278157

Doctor of Medicine (M.D.)

Dr. Mohamedyakub Puthawala , MD

Radiology - Radiation Oncology

NPI 1508821364

Doctor of Medicine (M.D.)

Dr. Sana Raoof , MD, PhD

Radiology - Radiation Oncology

NPI 1619505757

Doctor of Medicine (M.D.), Doctor of Philosophy (Ph.D.)

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

9 Historical Events
πŸ“
Updated Practice Location July 15, 2025

Registered at 593 EDDY ST BSMT APC, PROVIDENCE, RI 029034923 (Tel: 4014448311)

πŸ“
Updated Business Mailing Address July 15, 2025

Registered at 117 ELLENFIELD ST STE 101, PROVIDENCE, RI 029054541 (Tel: 4014446779)

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) July 15, 2025

Nurse Practitioner (license number reported to NPPES: MA RN2336344)

βœ…
NPI Profile Active December 17, 2024

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) December 17, 2024

Registered at 164 SUMMIT AVE, PROVIDENCE, RI 029062853 (Tel: 4017932920)

πŸ“
Business Mailing Address (Initial Record) December 17, 2024

Registered at 164 SUMMIT AVE, PROVIDENCE, RI 029062853 (Tel: 4017932920)

πŸ‘€
Provider Name / Credentials (Initial Record) December 17, 2024

Recorded as LYDIA LIBUTTI, FNP-C

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) December 17, 2024

Nurse Practitioner (license number reported to NPPES: RI APRN04362)

🟒
Initial NPI Registration & Enumeration December 11, 2024

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1003623356
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: December 11, 2024
Last Update: July 15, 2025
Sole Proprietor: Yes

Other Nurse Practitioners in Providence

All Nurse Practitioners in Providence

Mailing Address

117 Ellenfield St Ste 101

Providence, RI 029054541

Phone: 4014446779

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.