Individual provider Active NPI

Cene' L Livingston, DNP, APRN-BC, CNE

  • Family Nurse Practitioner
  • Yukon, OK
National Provider Identifier
1225070485
Registry record updated Aug 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
R0066016 Issued in OK
Practice address
11109 Surrey Hills Blvd
Yukon, OK 73099-8155
Phone
(405) 373-2400
Fax
(405) 373-4400
NPI assigned
Jun 12, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 14, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X R0066016 OK
Family Nurse Practitioner 363LF0000X R0066016 OK Primary

Addresses

Primary practice location

11109 Surrey Hills Blvd
Yukon, OK 73099-8155

Mailing address

6421 N College Ave
Oklahoma City, OK 73132-7209
Phone (405) 476-6573

Other practice location 1

2501 N Blackwelder Ave
Oklahoma City, OK 73106-1402
Phone (405) 208-5090

Other identifiers 1

IdentifierTypeStateIssuer
200080000AMedicaidOK

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20061017000065 OK Practitioner - Nurse Practitioner 1658377502 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
R0066016OKMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Lighthouse Behavioral Wellness Centers Current Accepting new patients
Lighthouse Behavioral Wellness Centers CurrentSince Jul 11, 2022 Accepting new patients
Ally Mental Wellness Psychiatric/Mental Health CurrentSince Mar 24, 2025 Accepting new patients
Mercy Health Services Inc. Past Accepting new patients

Locations

2530 S Commerce St
Bldg B
Ardmore, OK 73401
Phone (580) 319-7305

Organizations & group practices 6

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

NPI Registry JSON

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

{
    "created_epoch": "1150070400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723593600000",
    "number": "1225070485",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6421 N COLLEGE AVE",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731327209",
            "telephone_number": "405-476-6573"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11109 SURREY HILLS BLVD",
            "city": "YUKON",
            "state": "OK",
            "postal_code": "730998155",
            "telephone_number": "405-373-2400",
            "fax_number": "405-373-4400"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2501 N Blackwelder Ave",
            "address_purpose": "LOCATION",
            "city": "Oklahoma City",
            "state": "OK",
            "postal_code": "731061402",
            "country_code": "US",
            "telephone_number": "405-208-5090",
            "fax_number": "405-208-6016",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LIVINGSTON",
        "first_name": "CENE'",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "DNP, APRN-BC, CNE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-12",
        "last_updated": "2024-08-14",
        "certification_date": "2024-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "OK",
            "license": "R0066016",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OK",
            "license": "R0066016",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200080000A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Yukon, OK

Sources for this page

Verify at the official NPI Registry.