Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1003623356 Individual Practitioner Female Practitioner

Lydia Kay Libutti , FNP-C

Nurse Practitioner • Providence, RI

✓ Accepts Medicare Assignment Telehealth Available

Professional Overview & Biography Verified Profile Summary

Lydia Libutti, FNP-C is a certified Nurse Practitioner practicing in Providence, RI. With approximately 2 years of clinical experience since completing medical education in 2024, Lydia Libutti delivers high-quality medical care to the local community at 593 EDDY ST BSMT APC.

Lydia Libutti is affiliated with Rhode Island Hospital and accepts Medicare assignment . Telehealth and virtual consultation options are available for eligible patients.

Practice Location & Contact Primary Location

Practice Address

593 Eddy St Bsmt Apc

Providence, RI 029034923

Telephone 4014448311
Associated Practice Facility / Clinic

Medicare Profile & Education

Medical School

Other

Graduation Year

2024

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

Telehealth Services Available

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner in Providence, RI

Rising Specialist (<5 Yrs)
Practitioner Clinical Experience
2 Yrs -8.4 yrs vs City Avg
City Avg: 10.4 Yrs
State Avg: 13.5 Yrs
Regional Practice Density
176 Specialists

Practicing in Providence, RI (397 Statewide)

Telehealth Adoption Rate
15.9% Regional Adoption

✓ Offers Virtual Consultations

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Libutti (2 Years) 2 Yrs
Providence Specialty Average (10.4 Years) 10.4 Yrs

Medical Specialties & State Licenses

CMS Verified: 2025-07-15
Nurse Practitioner Primary Specialty

NUCC Taxonomy Code: 363L00000X

State License 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

State License MA RN2336344

Definition to come...

Nurse Practitioner - Family

NUCC Taxonomy Code: 363LF0000X

State License RI APRN04362

Definition to come...

Hospital & Practice Group Affiliations

Rhode Island Hospital

593 Eddy St, Providence, RI 029034923

Phone: 4014448311

Secondary Practice Locations

164 Summit Ave

Providence, RI 029062853

Phone: 4017932920

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

10 Associated Practitioners
Dr. Kara Leonard , MD

Radiology - Radiation Oncology

NPI 1023278157

Doctor of Medicine (M.D.)

Dr. Paul Rava , MD, PhD

Radiology - Radiation Oncology

NPI 1063641504

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

Erica Dias

Nurse Practitioner

NPI 1356131387
Dr. Mohamedyakub Puthawala , MD

Radiology - Radiation Oncology

NPI 1508821364

Doctor of Medicine (M.D.)

Dr. Shirin Sioshansi , MD

Radiology - Radiation Oncology

NPI 1518152438

Doctor of Medicine (M.D.)

Dr. Andrew Kopecky , MD

Radiology - Radiation Oncology

NPI 1528527645

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

9 Historical Events
📍
Updated Practice Location July 15, 2025

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

📍
Updated Business Mailing Address July 15, 2025

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

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

Nurse Practitioner (License #RN2336344 in MA)

NPI Profile Active December 17, 2024

NPI status registered as active in NPPES database

📍
Updated Practice Location December 17, 2024

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

📍
Updated Business Mailing Address December 17, 2024

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

👤
Provider Name / Credentials Updated December 17, 2024

Recorded as LYDIA LIBUTTI, FNP-C

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

Nurse Practitioner (License #APRN04362 in RI)

🟢
Initial NPI Registration & Enumeration December 11, 2024

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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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

Mailing Address

117 Ellenfield St Ste 101

Providence, RI 029054541

Phone: 4014446779

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.