Active NPI
Rene Livingston
- Developmental Therapist
- Kissimmee, FL
National Provider Identifier
1235803776
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Developmental Therapist
- Practice address
- 1200 N Central Ave Ste 110
Kissimmee, FL 34741-4439 - Phone
- (407) 530-5063
- NPI assigned
- Aug 8, 2021
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Assistant | 2355S0801X | SI3701 | FL | |
| Developmental Therapist | 222Q00000X | Primary |
Addresses
Primary practice location
1200 N Central Ave Ste 110
Kissimmee, FL 34741-4439
Mailing address
1837 Van Gogh Dr
Auburndale, FL 33823-2761
Phone (863) 253-7320
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 |
|---|---|---|---|
| SI3701 | FL | MD | Speech-Language Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1628380800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1767744000000",
"number": "1235803776",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1837 VAN GOGH DR",
"city": "AUBURNDALE",
"state": "FL",
"postal_code": "338232761",
"telephone_number": "863-253-7320"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1200 N CENTRAL AVE STE 110",
"city": "KISSIMMEE",
"state": "FL",
"postal_code": "347414439",
"telephone_number": "407-530-5063"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LIVINGSTON",
"first_name": "RENE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-08-08",
"last_updated": "2026-01-07",
"certification_date": "2026-01-07",
"status": "A"
},
"taxonomies": [
{
"code": "2355S0801X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Speech-Language Assistant",
"state": "FL",
"license": "SI3701",
"primary": false
},
{
"code": "222Q00000X",
"taxonomy_group": "",
"desc": "Developmental Therapist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Kissimmee, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.