Active NPI
Crystal Leigh Livemore, LMP
- Contractor
- Redmond, WA
National Provider Identifier
1134462997
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Contractor
- License
- MA 60277325
- Practice address
- 23515 NE Novelty Hill Rd
Redmond, WA 98053-1996 - Phone
- (425) 898-8000
- Fax
- (425) 898-8005
- NPI assigned
- Mar 30, 2013
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Contractor | 171W00000X | MA 60277325 | WA | Primary |
Addresses
Primary practice location
23515 NE Novelty Hill Rd
Redmond, WA 98053-1996
Mailing address
11720 NE 130TH PL Apt G12
Kirkland, WA 98034-2934
Phone (971) 998-6037
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
| License | State | Type | Specialty |
|---|---|---|---|
| MA 60277325 | WA | MD | Contractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1364601600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1364601600000",
"number": "1134462997",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11720 NE 130TH PL APT G12",
"city": "KIRKLAND",
"state": "WA",
"postal_code": "980342934",
"telephone_number": "971-998-6037"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "23515 NE NOVELTY HILL RD",
"city": "REDMOND",
"state": "WA",
"postal_code": "980531996",
"telephone_number": "425-898-8000",
"fax_number": "425-898-8005"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LIVEMORE",
"first_name": "CRYSTAL",
"middle_name": "LEIGH",
"credential": "LMP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-03-30",
"last_updated": "2013-03-30",
"status": "A"
},
"taxonomies": [
{
"code": "171W00000X",
"taxonomy_group": "",
"desc": "Contractor",
"state": "WA",
"license": "MA 60277325",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Redmond, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.