Tamella Paige Livengood, MSN, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

4704197389 Issued in MI

Practice address

10223 E Cherry Bend Rd
Traverse City, MI 49684-7304

Phone

(231) 929-7933

Fax

(231) 929-7934

NPI assigned

Dec 4, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MI

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2000

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Cherry Bend Family Care, PLCGroup PAC ID 9032114624, 4 clinicians

Interlochen Emergency Group PCGroup PAC ID 3577918606, 49 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Munson Medical Center Hospital, Traverse City, MI, CCN 230097

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science - Nursing, Nurse Practitioner

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/JDAHAA
• FHIR API: https://fhir4.healow.com/fhir/r4/HHBDAD

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Cherry Bend Family Care, PLC

  • Family Medicine Physician
  • Traverse City, MI
  • NPI 1801811369

  MI

  Medicare reassignment Care Compare group NPD
• Interlochen Emergency Group, P.C.

  • Emergency Medicine Physician
  • Traverse City, MI
  • NPI 1336821495

  MI, Nurse Practitioner

  Medicare reassignment Care Compare group NPD
• Northwestern Michigan Emergency Physicians PC

  • Emergency Medicine Physician
  • Traverse City, MI
  • NPI 1073597944

  MI

  Medicare reassignment NPD
• Traverse Bay Internal Medicine PC

  • Internal Medicine Physician
  • Traverse City, MI
  • NPI 1487023933

  MI

  Medicare reassignment NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Munson Medical Center

  • General Acute Care Hospital
  • Traverse City, MI
  • NPI 1952307852

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1196726400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722470400000",
    "number": "1407038151",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4977 SKYVIEW CT",
            "city": "TRAVERSE CITY",
            "state": "MI",
            "postal_code": "496846941",
            "telephone_number": "231-486-5516",
            "fax_number": "231-421-1439"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10223 E CHERRY BEND RD",
            "city": "TRAVERSE CITY",
            "state": "MI",
            "postal_code": "496847304",
            "telephone_number": "231-929-7933",
            "fax_number": "231-929-7934"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIVENGOOD",
        "first_name": "TAMELLA",
        "middle_name": "PAIGE",
        "name_prefix": "Mrs.",
        "credential": "MSN, FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-12-04",
        "last_updated": "2024-08-01",
        "certification_date": "2024-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MI",
            "license": "4704197389",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1407038151",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Josephine L Listerhendrix, NP
• Heather Leanne Litchfield, R.PH.
• Fallon Marie Litten
• Jennifer Marie Littlefield, FNP-BC
• Live Well Counseling LLC
• Anthony Livorine, M.D.
• Elaine Lober, RN
• Debra L Lockwood, OD
• Chloe Elizabeth Lodge, LLMSW
• Amy Jane Loeb

• All providers in Traverse City, MI
• Family Nurse Practitioner in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.