NPIMap

Individual provider Active NPI

David C Livingston, DO

  • Family Medicine Physician
  • Richland, WA
National Provider Identifier
1194118208
Registry record updated May 24, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
OP60846293 Issued in WA
Practice address
1135 Jadwin Ave
Richland, WA 99352-3434
Phone
(509) 942-3300
Fax
(509) 946-1868
NPI assigned
Mar 13, 2015
Last updated
May 24, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 24, 2021

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 11018260A IN
Family Medicine Physician 207Q00000X 02004890A IN
Family Medicine Physician 207Q00000X OP60846293 WA Primary

Addresses

Primary practice location

1135 Jadwin Ave
Richland, WA 99352-3434

Mailing address

550 Gage Blvd Ste 101
Richland, WA 99352-9532
Phone (509) 942-3627

Other practice location 1

915 Vintage Valley Pkwy Ste 200
Zillah, WA 98953
Phone (509) 314-6565

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address dlivingston1344416@wm.providencedirect.org Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
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
I20180914000786 WA Practitioner - Family Practice 5890007223 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Pacific Medical College, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Kadlec Regional Medical CenterGroup PAC ID 9739098617, 402 clinicians

Practice addresses (Care Compare)

1135 Jadwin Ave
Richland, WA 99352-3434
Phone (509) 942-3300

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
02004890AINMDFamily Medicine Physician
11018260AINMDFamily Medicine Physician
OP60846293WAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Sunnyside Community Hospital Association CurrentSince Aug 1, 2018 Accepting new patients
SHC Medical Center Toppenish CurrentSince Mar 14, 2019 Accepting new patients
Sunnyside Community Hospital Association Family Medicine CurrentSince Aug 1, 2018 Accepting new patients
Sunnyside Community Hospital Association Current Accepting new patients
Kadlec Regional Medical Center CurrentSince Sep 14, 2020 Accepting new patients
Kadlec Regional Medical Center CurrentSince Sep 14, 2020 Accepting new patients

Locations

1135 Jadwin Ave
Richland, WA 99352
Phone (509) 942-3300

550 Gage Blvd
Ste 101
Richland, WA 99352

888 Swift Blvd
Richland, WA 99352
Phone (509) 942-2115

2925 Allen Rd
Sunnyside, WA 98944
Phone (509) 837-4949

502 W 4th Ave
Toppenish, WA 98948
Phone (509) 865-1520

915 Vintage Valley Pkwy
Ste 200
Zillah, WA 98953
Phone (509) 314-6565

Organizations & group practices 8

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 6

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": "1426204800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1621814400000",
    "number": "1194118208",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "550 GAGE BLVD STE 101",
            "city": "RICHLAND",
            "state": "WA",
            "postal_code": "993529532",
            "telephone_number": "509-942-3627",
            "fax_number": "509-627-2983"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1135 JADWIN AVE",
            "city": "RICHLAND",
            "state": "WA",
            "postal_code": "993523434",
            "telephone_number": "509-942-3300",
            "fax_number": "509-946-1868"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "915 Vintage Valley Pkwy Ste 200",
            "address_purpose": "LOCATION",
            "city": "Zillah",
            "state": "WA",
            "postal_code": "98953",
            "country_code": "US",
            "telephone_number": "509-314-6565",
            "fax_number": "509-314-6564",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LIVINGSTON",
        "first_name": "DAVID",
        "middle_name": "C",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-03-13",
        "last_updated": "2021-05-24",
        "certification_date": "2021-05-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IN",
            "license": "11018260A",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IN",
            "license": "02004890A",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WA",
            "license": "OP60846293",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "dlivingston1344416@wm.providencedirect.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "1135 Jadwin Ave",
            "city": "Richland",
            "state": "WA",
            "country_code": "US",
            "postal_code": "993523434",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Richland, WA

Sources for this page

Verify at the official NPI Registry.