Individual provider Active NPI

Emily Livengood, ND

  • Naturopath
  • Bend, OR
National Provider Identifier
1053741728
Registry record updated Jul 29, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
NaturopathTaxonomy code 175F00000X
License
4087 Issued in OR
Practice address
151 SW Shevlin Hixon Dr Ste 101
Bend, OR 97702-3232
Phone
(541) 907-1729
NPI assigned
Nov 18, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 29, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X NT60413628 WA
Naturopath 175F00000X 4087 OR Primary

Addresses

Primary practice location

151 SW Shevlin Hixon Dr Ste 101
Bend, OR 97702-3232

Mailing address

PO Box 1525
Bend, OR 97709-1525
Phone (206) 948-5016

Other practice location 1

344 NE Marshall Ave
Bend, OR 97701-4346
Phone (541) 322-3941

Other practice location 2

3256 California Ave SW
Seattle, WA 98116-3305
Phone (206) 938-1393

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
4087ORMDNaturopath
NT60413628WAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Northwest Naturopathic Naturopath Past Accepting new patients

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": "1384732800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1627516800000",
    "number": "1053741728",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1525",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977091525",
            "telephone_number": "206-948-5016"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "151 SW SHEVLIN HIXON DR STE 101",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977023232",
            "telephone_number": "541-907-1729"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "344 NE Marshall Ave",
            "address_purpose": "LOCATION",
            "city": "Bend",
            "state": "OR",
            "postal_code": "977014346",
            "country_code": "US",
            "telephone_number": "541-322-3941",
            "fax_number": "541-322-2876",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3256 California Ave SW",
            "address_purpose": "LOCATION",
            "city": "Seattle",
            "state": "WA",
            "postal_code": "981163305",
            "country_code": "US",
            "telephone_number": "206-938-1393",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LIVENGOOD",
        "first_name": "EMILY",
        "credential": "ND",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-11-18",
        "last_updated": "2021-07-29",
        "certification_date": "2021-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WA",
            "license": "NT60413628",
            "primary": false
        },
        {
            "code": "175F00000X",
            "taxonomy_group": "",
            "desc": "Naturopath",
            "state": "OR",
            "license": "4087",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bend, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2021; 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.