NPIMap

Organization Active NPI

Livinglitemd

  • Health Service Clinic/Center
  • Panama City, FL
National Provider Identifier
1326434275
Registry record updated Apr 7, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Service Clinic/CenterTaxonomy code 261QH0100X
Legal business name
LIVINGLITEMD
Practice address
2507 Harrison Ave
Suite 201
Panama City, FL 32405-4424
Phone
(850) 215-4455
Fax
(850) 215-4492
NPI assigned
Apr 7, 2015
Last updated
Apr 7, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 7, 2015

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

Authorized official

Name
Ms. Michelle L Bautista, ARNP-CNPI 1326072398
Title
Owner
Phone
(850) 814-9223

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Service Clinic/Center 261QH0100X FL Primary

Addresses

Primary practice location

2507 Harrison Ave
Suite 201
Panama City, FL 32405-4424

Mailing address

2507 Harrison Ave
Suite 201
Panama City, FL 32405-4424
Phone (850) 215-4455

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1428364800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1428364800000",
    "number": "1326434275",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2507 HARRISON AVE",
            "address_2": "SUITE 201",
            "city": "PANAMA CITY",
            "state": "FL",
            "postal_code": "324054424",
            "telephone_number": "850-215-4455",
            "fax_number": "850-215-4492"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2507 HARRISON AVE",
            "address_2": "SUITE 201",
            "city": "PANAMA CITY",
            "state": "FL",
            "postal_code": "324054424",
            "telephone_number": "850-215-4455",
            "fax_number": "850-215-4492"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIVINGLITEMD",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-04-07",
        "last_updated": "2015-04-07",
        "status": "A",
        "authorized_official_last_name": "BAUTISTA",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "850-814-9223",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "ARNP-C"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "FL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Panama City, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.