Individual provider Active NPI

Rebecca S Livengood

  • Driver
  • Massillon, OH
National Provider Identifier
1396333670
Registry record updated Jan 4, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
DriverTaxonomy code 172A00000X
License
RF378721 Issued in OH
Practice address
3445 Briardale Dr NW
Massillon, OH 44646-2812
Phone
(330) 605-9511
NPI assigned
Jan 4, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 4, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Attendant Care Provider 3747A0650X
Driver 172A00000X RF378721 OH Primary

Addresses

Primary practice location

3445 Briardale Dr NW
Massillon, OH 44646-2812

Mailing address

3445 Briardale Dr NW
Massillon, OH 44646-2812
Phone (330) 605-9511

Other practice location 1

3445 Briardale Dr NW
Massillon, OH 44646-2812
Phone (330) 605-9511

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address tliven@sssnet.com
Direct Messaging Address tliven@sssnet.com Direct

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

LicenseStateTypeSpecialty
RF378721OHMDDriver

NPI Registry JSON

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

{
    "created_epoch": "1609718400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1609718400000",
    "number": "1396333670",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3445 BRIARDALE DR NW",
            "city": "MASSILLON",
            "state": "OH",
            "postal_code": "446462812",
            "telephone_number": "330-605-9511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3445 BRIARDALE DR NW",
            "city": "MASSILLON",
            "state": "OH",
            "postal_code": "446462812",
            "telephone_number": "330-605-9511"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3445 Briardale Dr NW",
            "address_purpose": "LOCATION",
            "city": "Massillon",
            "state": "OH",
            "postal_code": "446462812",
            "country_code": "US",
            "telephone_number": "330-605-9511",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LIVENGOOD",
        "first_name": "REBECCA",
        "middle_name": "S",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-01-04",
        "last_updated": "2021-01-04",
        "certification_date": "2021-01-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "3747A0650X",
            "taxonomy_group": "",
            "desc": "Technician, Attendant Care Provider",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "172A00000X",
            "taxonomy_group": "",
            "desc": "Driver",
            "state": "OH",
            "license": "RF378721",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "tliven@sssnet.com",
            "affiliation": "N",
            "address_1": "3445 Briardale Dr NW",
            "city": "Massillon",
            "state": "OH",
            "country_code": "US",
            "postal_code": "446462812",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "tliven@sssnet.com",
            "affiliation": "N",
            "endpointDescription": "home",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "all",
            "address_1": "3445 Briardale Dr NW",
            "city": "Massillon",
            "state": "OH",
            "country_code": "US",
            "postal_code": "446462812",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Massillon, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2021; 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.