Living Waters Family Medicine LLC

Primary specialty

Primary Care Nurse PractitionerTaxonomy code 363LP2300X

Legal business name

LIVING WATERS FAMILY MEDICINE LLC

Practice address

1260 Maryland Ave Ste 114
Hagerstown, MD 21740-7248

Phone

(301) 900-5313

Fax

(301) 235-1590

NPI assigned

Nov 29, 2022

Organization subpart

No

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

Authorized official

Name

Lora ColeNPI 1639654007

Title

Owner

Phone

(301) 900-5313

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MD

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Lora Cole, NP

  • Family Nurse Practitioner
  • Hagerstown, MD
  • NPI 1639654007
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1669680000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1679616000000",
    "number": "1346950433",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 602",
            "city": "WILLIAMSPORT",
            "state": "MD",
            "postal_code": "217950602",
            "telephone_number": "301-900-5313",
            "fax_number": "301-235-1590"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1260 MARYLAND AVE STE 114",
            "city": "HAGERSTOWN",
            "state": "MD",
            "postal_code": "217407248",
            "telephone_number": "301-900-5313",
            "fax_number": "301-235-1590"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIVING WATERS FAMILY MEDICINE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-11-29",
        "last_updated": "2023-03-24",
        "certification_date": "2023-03-24",
        "status": "A",
        "authorized_official_last_name": "COLE",
        "authorized_official_first_name": "LORA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "301-900-5313"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amanda Jane Lippold
• Sandra Patricia Liriano
• Munjanja Litell
• Stephanie Little, LCPC
• Jonathan Kirk Livers, PA-C
• Suffia Pauline Amable Llanes, PT
• Robert Franklin Lloyd Jr., OD
• Calla Ashley Loadman
• Brandy Locke, CRNP
• Solveig K Locke, CRNP

• Primary Care Nurse Practitioner in Hagerstown, MD
• Providers in Hagerstown, MD by specialty
• Primary Care Nurse Practitioner in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.