Maxie Braun Livingston, MAT, ATC, LAT

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

ATR-009540 Issued in AZ

Practice address

2700 E Brown Rd
Mesa, AZ 85213-5399

Phone

(480) 472-6900

NPI assigned

Sep 14, 2022

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1663113600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747958400000",
    "number": "1427770767",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 N BEEBE ST APT 2096",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852347691",
            "telephone_number": "602-617-1285"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2700 E BROWN RD",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852135399",
            "telephone_number": "480-472-6900"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "63 E Main St Ste 101",
            "address_purpose": "LOCATION",
            "city": "Mesa",
            "state": "AZ",
            "postal_code": "852017422",
            "country_code": "US",
            "telephone_number": "480-472-0000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1945 E Claire Dr",
            "address_purpose": "LOCATION",
            "city": "Phoenix",
            "state": "AZ",
            "postal_code": "850223934",
            "country_code": "US",
            "telephone_number": "602-617-1285",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LIVINGSTON",
        "first_name": "MAXIE",
        "middle_name": "BRAUN",
        "credential": "MAT, ATC, LAT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-09-14",
        "last_updated": "2025-05-23",
        "certification_date": "2025-05-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "AZ",
            "license": "ATR-009540",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Athletic Trainer in Mesa, AZ
• Providers in Mesa, AZ by specialty
• Athletic Trainer in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2025; 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.