Individual provider Active NPI

Jeremy David Livingston, CO, BOCP

  • Orthotist
  • Cody, WY
National Provider Identifier
1033363973
Registry record updated Nov 3, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
OrthotistTaxonomy code 222Z00000X
Practice address
720 Lindsay LN
Cody, WY 82414-4142
Phone
(307) 250-2443
Fax
(307) 578-8820
NPI assigned
Nov 5, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 3, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Prosthetist 224P00000X
Orthotist 222Z00000X Primary

Addresses

Primary practice location

720 Lindsay LN
Cody, WY 82414-4142

Mailing address

720 Lindsay LN
Cody, WY 82414-4142
Phone (307) 250-2443

Other practice location 1

7700 Imperial Hwy Ste E2
Downey, CA 90242-3466
Phone (562) 803-3322

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

Practice roles

OrganizationSpecialtyStatusNew patients
Bodyworks Prosthetics and Orthotics LLC Orthotist Current Accepting new patients

Locations

720 Lindsay Ln
Ste B2
Cody, WY 82414
Phone (307) 578-8820

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1225843200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1541203200000",
    "number": "1033363973",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "720 LINDSAY LN",
            "city": "CODY",
            "state": "WY",
            "postal_code": "824144142",
            "telephone_number": "307-250-2443"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "720 LINDSAY LN",
            "city": "CODY",
            "state": "WY",
            "postal_code": "824144142",
            "telephone_number": "307-250-2443",
            "fax_number": "307-578-8820"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7700 Imperial Hwy Ste E2",
            "address_purpose": "LOCATION",
            "city": "Downey",
            "state": "CA",
            "postal_code": "902423466",
            "country_code": "US",
            "telephone_number": "562-803-3322",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LIVINGSTON",
        "first_name": "JEREMY",
        "middle_name": "DAVID",
        "credential": "CO, BOCP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-11-05",
        "last_updated": "2018-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224P00000X",
            "taxonomy_group": "",
            "desc": "Prosthetist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "222Z00000X",
            "taxonomy_group": "",
            "desc": "Orthotist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cody, WY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2018; 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.