NPIMap

Individual provider Active NPI

Rachel Lea Livengood, DO

  • Family Medicine Physician
  • Martinsburg, WV
National Provider Identifier
1053870063
Registry record updated Mar 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
4584 Issued in WV
Practice address
101 Marcley Dr
Martinsburg, WV 25401-2977
Phone
(304) 263-8911
Fax
(304) 263-9450
NPI assigned
Mar 19, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 27, 2025

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 87810 SC
Family Medicine Physician 207Q00000X 4584 WV Primary

Addresses

Primary practice location

101 Marcley Dr
Martinsburg, WV 25401-2977

Mailing address

1840 Amherst St Ste 320
Winchester, VA 22601-2808
Phone (540) 536-5100

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WV
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250410002684 WV Practitioner - Family Practice 8426458795 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Liberty Univ College of Osteopathic Medicine, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

101 Marcley Dr
Martinsburg, WV 25401-2977
Phone (304) 263-8911

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
4584WVMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
East Mountain Health Physicians, Inc. Family Medicine CurrentSince May 5, 2025 Accepting new patients
East Mountain Health Physicians Inc. Family Medicine Current Accepting new patients
East Mountain Health Physicians, Inc. CurrentSince May 5, 2025 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients
East Mountain Health Physicians, Inc. Past Accepting new patients

Locations

220 Campus Blvd
Ste 320
Winchester, VA 22601

101 Marcley Dr
Martinsburg, WV 25401
Phone (304) 263-8911

1004 Sushruta Dr
Ste D
Martinsburg, WV 25401
Phone (304) 262-2538

100 Oak Lee Dr
Ranson, WV 25438
Phone (304) 350-0001

Interoperability endpoints

  • Direct secure messaging: rlivengood1503128@valleyhealth.direct-ci.com
  • Direct secure messaging: rachel.livengood@hca5.eclinicaldirectplus.com

Organizations & group practices 5

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.

Hospital & facility affiliations 7

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1552953600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743033600000",
    "number": "1053870063",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1840 AMHERST ST STE 320",
            "city": "WINCHESTER",
            "state": "VA",
            "postal_code": "226012808",
            "telephone_number": "540-536-5100",
            "fax_number": "540-536-0235"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 MARCLEY DR",
            "city": "MARTINSBURG",
            "state": "WV",
            "postal_code": "254012977",
            "telephone_number": "304-263-8911",
            "fax_number": "304-263-9450"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIVENGOOD",
        "first_name": "RACHEL",
        "middle_name": "LEA",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-03-19",
        "last_updated": "2025-03-27",
        "certification_date": "2025-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "SC",
            "license": "87810",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WV",
            "license": "4584",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Martinsburg, WV

Sources for this page

Verify at the official NPI Registry.