Livingston Family Practice, PLLC
Organization Active NPI Family Nurse Practitioner · Hartsville, TN
NPI 1275946337 · NPPES record last updated Jun 8, 2026
Key facts
- NPI
- 1275946337
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 14439 (TN)
- Legal business name
- LIVINGSTON FAMILY PRACTICE, PLLC
- Practice address
- 118 McMurry Blvd E
Hartsville, TN 37074-1108 - Phone
- (615) 680-3331
- Fax
- (615) 680-3332
- NPI assigned
- Jun 6, 2014
- Organization subpart
- No
Authorized official
- Name
- Mrs. Amanda Shenie Livingston, NP
- Title
- Owner
- Phone
- (615) 680-3331
Practitioners 1
-
Amanda S Livingston, NP-C
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 44D2077871 | Livingston Family Practice, PLLC | Certificate of waiver | May 15, 2028 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TN
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20150109001770 | TN | Part B Supplier - Clinic/Group Practice | 0042534562 |
Receives reassigned benefits from 1 practitioner Practice locations: Hartsville, TN |
National Provider Directory
Locations
118 McMurry Blvd E
Hartsville, TN 37074
Phone (615) 680-3331
755 McMurry Blvd E
Hartsville, TN 37074
Phone (615) 374-4477
Interoperability endpoints
- https://api.platform.athenahealth.com/20814/brand/1/csg/1/fhir/r4
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner |
363LF0000X | 14439 | TN | Yes |
Addresses
Primary practice location
118 McMurry Blvd E
Hartsville, TN 37074-1108
Mailing address
118 McMurry Blvd E
Hartsville, TN 37074-1108
Phone (615) 680-3331
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| Q006917 | Medicaid | TN |
Other providers in Hartsville, TN
- Jaclyn Kempf
- Alex Michael Knight
- Aubrey A. Lamptey
- Kyla Lou Langford
- Kelli Michelle Ledbetter
- Amanda S Livingston
- William D Lyles Jr.
- Andrew Herod Marshall
- Samuel C. Moore
- Stacy Amanda Morris
All providers in Hartsville, TN · Family Nurse Practitioner in Tennessee
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 8, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.