Active NPI
Candi Livingston, PTA
- Specialist
- Sherwood, AR
National Provider Identifier
1225334626
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- PTA 2261
- Practice address
- 9880 Brockington Rd
Suite 147
Sherwood, AR 72120-3585 - Phone
- (501) 944-7819
- NPI assigned
- Feb 2, 2011
- Last updated
- Feb 2, 2011
- 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 |
|---|---|---|---|---|
| Specialist | 174400000X | PTA 2261 | AR | Primary |
Addresses
Primary practice location
9880 Brockington Rd
Suite 147
Sherwood, AR 72120-3585
Mailing address
600 Green Oak Dr
North Little Rock, AR 72118-3171
Phone (501) 944-4336
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 |
|---|---|---|---|
| PTA 2261 | AR | MD | Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1296604800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1296604800000",
"number": "1225334626",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "600 GREEN OAK DR",
"city": "NORTH LITTLE ROCK",
"state": "AR",
"postal_code": "721183171",
"telephone_number": "501-944-4336"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9880 BROCKINGTON RD",
"address_2": "SUITE 147",
"city": "SHERWOOD",
"state": "AR",
"postal_code": "721203585",
"telephone_number": "501-944-7819"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LIVINGSTON",
"first_name": "CANDI",
"credential": "PTA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-02-02",
"last_updated": "2011-02-02",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "AR",
"license": "PTA 2261",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Sherwood, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.