Individual provider · Type 1 NPI

Lydia Kay Libutti, FNP-C

Nurse Practitioner · Providence, RI

NPI number 1003623356 Active

Practice location

593 Eddy St Bsmt Apc
Providence, RI 02903-4923

Call (401) 444-8311 Map

Mailing address

117 Ellenfield St Ste 101
Providence, RI 02905-4541

Other practice locations

  • 164 Summit Ave, Providence, RI 02906-2853 · (401) 793-2920

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner 363LF0000XRN2336344 (MA)
Family Nurse Practitioner 363LF0000XAPRN04362 (RI)
Nurse Practitioner Primary 363L00000XAPRN04362 (RI)

Nurse Practitioner: (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 wit…

2 other providers at this address

Other nurse practitioner providers in Providence

See all in Providence →

About NPI 1003623356

Lydia Kay Libutti, FNP-C's National Provider Identifier is 1003623356, issued on Dec 11, 2024. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Providence, RI. The record was last updated on Jul 15, 2025.