Individual provider Active NPI

Carol L Livelli, ARNP

  • Pediatric Nurse Practitioner
  • Sebastian, FL
National Provider Identifier
1013107994
Registry record updated Dec 6, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Nurse PractitionerTaxonomy code 363LP0200X
License
ARNP9313619 Issued in FL
Practice address
14430 US Highway 1
Suite 101
Sebastian, FL 32958-3289
Phone
(772) 581-0478
NPI assigned
Jul 27, 2007
Last updated
Dec 6, 2010By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 6, 2010

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Nurse Practitioner 363LP0200X NP18734 CA
Pediatric Nurse Practitioner 363LP0200X ARNP9313619 FL Primary

Addresses

Primary practice location

14430 US Highway 1
Suite 101
Sebastian, FL 32958-3289

Mailing address

14430 US Highway 1
Suite 101
Sebastian, FL 32958-3289
Phone (772) 581-0478

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
NP18734CAMDPediatric Nurse Practitioner
ARNP9313619FLMDPediatric Nurse Practitioner

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1185494400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1291593600000",
    "number": "1013107994",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14430 US HIGHWAY 1",
            "address_2": "SUITE 101",
            "city": "SEBASTIAN",
            "state": "FL",
            "postal_code": "329583289",
            "telephone_number": "772-581-0478"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14430 US HIGHWAY 1",
            "address_2": "SUITE 101",
            "city": "SEBASTIAN",
            "state": "FL",
            "postal_code": "329583289",
            "telephone_number": "772-581-0478"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIVELLI",
        "first_name": "CAROL",
        "middle_name": "L",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-07-27",
        "last_updated": "2010-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "CA",
            "license": "NP18734",
            "primary": false
        },
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "FL",
            "license": "ARNP9313619",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sebastian, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.