Active NPI
Rebecca S Livengood
- Driver
- Massillon, OH
National Provider Identifier
1396333670
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Driver
- License
- RF378721
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| RF378721 | OH | MD | Driver |
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
- Life Stages Womens Health & Wellness Center Inc
- Lifecare Family Health and Dental Center, Inc
- Lifecare Family Health and Dental Center, Inc.
- Lifecare Family Health and Dental Center, Inc.
- Brandi L Lingenhoel, APRN
- Living Tree Recovery Center
- Michael Lockhart Jr., OD
- Erin Kathleen Loew, APRN
- Eletzah Lopes
- Joshua Dallas Lovejoy, RN
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.