Live Oak Family Practice, LLC

Primary specialty

Primary Care Nurse PractitionerTaxonomy code 363LP2300X

Legal business name

LIVE OAK FAMILY PRACTICE, LLC

Practice address

1304 Ohio Ave S
Live Oak, FL 32064-4156

Phone

(386) 364-0776

NPI assigned

Jul 26, 2021

Last updated

Jul 26, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Melissa F Peters, APRNNPI 1114439510

Title

Owner

Phone

(386) 688-7813

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/24230/brand/1/csg/1/fhir/r4

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Melissa Fay Peters, ARNP

  • Nurse Practitioner
  • Live Oak, FL
  • NPI 1114439510
  Medicare reassignment NPD Authorized official
• Asad U. Qamar, M.D.

  • Cardiovascular Disease Physician
  • Ocala, FL
  • NPI 1033145487
  Medicare reassignment NPD

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

{
    "created_epoch": "1627257600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1627257600000",
    "number": "1134892201",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10061 COUNTY ROAD 49",
            "city": "LIVE OAK",
            "state": "FL",
            "postal_code": "320607686",
            "telephone_number": "386-688-7813"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1304 OHIO AVE S",
            "city": "LIVE OAK",
            "state": "FL",
            "postal_code": "320644156",
            "telephone_number": "386-364-0776"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIVE OAK FAMILY PRACTICE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-07-26",
        "last_updated": "2021-07-26",
        "certification_date": "2021-07-26",
        "status": "A",
        "authorized_official_last_name": "PETERS",
        "authorized_official_first_name": "MELISSA",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "386-688-7813",
        "authorized_official_credential": "APRN"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Lacasse
• Joy Lamb, PHARMD
• Lawrence a. Stranch
• Dennis M Lewis, MD
• Jabari Lewis
• Live Oak Hma Medical Group, LLC
• Live Oak Hma, LLC (Shands Medical Group of Live Oak-RHC)
• Live Oak Hma, LLC (Shands Live Oak Regional Medical Center)
• Live Oak Hma, LLC (Shands Live Oak Medical Group)
• Live Oak Hma, LLC (Shands Live Oak Regional Medical Center)

• Primary Care Nurse Practitioner in Live Oak, FL
• Providers in Live Oak, FL by specialty
• Primary Care Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.