Livality Integrated Health

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

Legal business name

LIVALITY INTEGRATED HEALTH

Practice address

1620 Corsair LN Ste 201
Middleburg, FL 32068-8484

Phone

(904) 787-8850

Fax

(833) 740-3601

NPI assigned

Oct 17, 2023

Organization subpart

No

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

Authorized official

Name

Dr. Tyquitta Perrier, NPNPI 1467700757

Title

Chief Clinical Officer/Owner

Phone

(706) 289-2647

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Tyquitta Janell Perrier, FNP, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Middleburg, FL
  • NPI 1467700757

  Family

  Medicare reassignment NPD Authorized official
• Shavanna King, PMHNP- BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Middleburg, FL
  • NPI 1487498630
  NPD

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

{
    "created_epoch": "1697500800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1697500800000",
    "number": "1194507962",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1075 OAKLEAF PLANTATION PKWY",
            "address_2": "SUITE 304, BOX 317",
            "city": "ORANGE PARK",
            "state": "FL",
            "postal_code": "32065"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1620 CORSAIR LN STE 201",
            "city": "MIDDLEBURG",
            "state": "FL",
            "postal_code": "320688484",
            "telephone_number": "904-787-8850",
            "fax_number": "833-740-3601"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIVALITY INTEGRATED HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-10-17",
        "last_updated": "2023-10-17",
        "certification_date": "2023-10-17",
        "status": "A",
        "authorized_official_last_name": "PERRIER",
        "authorized_official_first_name": "TYQUITTA",
        "authorized_official_title_or_position": "CHIEF CLINICAL OFFICER/OWNER",
        "authorized_official_telephone_number": "706-289-2647",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cynthia Hailey Letterman, RN
• Jenalyn Victoria Licea, APRN
• Rodney Wayne Lich, LAT/ATC
• Briana Little
• Christopher Littles
• Mikhail Lobatos, LMHC
• Angela G Locklear, ARNP
• Marco B Long Sr.
• Chelsey Lossen
• LP SW Jacksonville, LLC

• Psychiatric/Mental Health Nurse Practitioner in Middleburg, FL
• Providers in Middleburg, FL by specialty
• Psychiatric/Mental Health Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.