Active NPI
Debra Ann Livergood, BSN
- Registered Nurse
- Idabel, OK
National Provider Identifier
1376847459
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- 86244 00103672
- Practice address
- 2000 E Lincoln Rd
Idabel, OK 74745-7353 - Phone
- (580) 286-6639
- NPI assigned
- Jan 4, 2011
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 86244 00103672 | OK | Primary |
Addresses
Primary practice location
2000 E Lincoln Rd
Idabel, OK 74745-7353
Mailing address
2000 E Lincoln Rd
Idabel, OK 74745-7353
Phone (580) 286-6639
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
- Credentials
- Bachelor on Science - Nursing
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 86244 00103672 | OK | MD | Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1294099200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1294099200000",
"number": "1376847459",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2000 E LINCOLN RD",
"city": "IDABEL",
"state": "OK",
"postal_code": "747457353",
"telephone_number": "580-286-6639"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2000 E LINCOLN RD",
"city": "IDABEL",
"state": "OK",
"postal_code": "747457353",
"telephone_number": "580-286-6639"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LIVERGOOD",
"first_name": "DEBRA",
"middle_name": "ANN",
"credential": "BSN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-01-04",
"last_updated": "2011-01-04",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "OK",
"license": "86244 00103672",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Idabel, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 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.