Active NPI
Luann M. Livingston, OTR
- Occupational Therapist
- Friendship, WI
National Provider Identifier
1144433103
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 2144
- Practice address
- 402 W. Lake St.
Friendship, WI 53934 - Phone
- (608) 339-3331
- NPI assigned
- May 7, 2007
- Last updated
- Jul 8, 2007
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 2144 | WI | Primary |
Addresses
Primary practice location
402 W. Lake St.
Friendship, WI 53934
Mailing address
402 W. Lake St.
P.O. Box 40
Friendship, WI 53934
Phone (608) 339-3331
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 40814800 | Medicaid | WI |
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 |
|---|---|---|---|
| 2144 | WI | MD | Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178496000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1144433103",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "402 W. LAKE ST.",
"address_2": "P.O. BOX 40",
"city": "FRIENDSHIP",
"state": "WI",
"postal_code": "53934",
"telephone_number": "608-339-3331"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "402 W. LAKE ST.",
"city": "FRIENDSHIP",
"state": "WI",
"postal_code": "53934",
"telephone_number": "608-339-3331"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LIVINGSTON",
"first_name": "LUANN",
"middle_name": "M.",
"credential": "OTR",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-05-07",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "WI",
"license": "2144",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "40814800",
"state": "WI"
}
],
"endpoints": [],
"other_names": []
}Other providers in Friendship, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.