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LIVINGSTON FAMILY PRACTICE PLLC NPI 1275946337


NPI Information

NPI: 1275946337
Provider Name: LIVINGSTON FAMILY PRACTICE, PLLC
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Organization

Specialization: Family

CLIA Number: 44D2077871

Address:
118 MCMURRY BLVD E
HARTSVILLE, TN
ZIP 37074
Phone: (615) 680-3331
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LIVINGSTON FAMILY PRACTICE, PLLC is a family nurse practitioner in Hartsville, TN. LIVINGSTON FAMILY PRACTICE, PLLC NPI is 1275946337. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

118 MCMURRY BLVD E
HARTSVILLE, TN
ZIP 37074-108
Phone: (615) 680-3331
Fax: (615) 680-3332

The provider's authorized official is Amanda Shenie Livingston .
The authorized official title is Owner and has the following contact phone number (615) 328-6206.

The CLIA number assigned to this NPI record is 44D2077871 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/6/2014 and was last updated on 2/2/2021.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1363LF0000XNurse PractitionerFamily14439TENNESSEEYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1Q006917MEDICAIDTENNESSEE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.