Individual provider Active NPI

Livingstone Kum Awah, FNP

  • Family Medicine Physician
  • Ruther Glen, VA
National Provider Identifier
1447156500
Registry record updated Oct 15, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
0024199155 Issued in VA
Practice address
18447 Governor Dr
Ruther Glen, VA 22546-5255
Phone
(240) 429-2911
NPI assigned
Oct 15, 2026
Last updated
Oct 15, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 15, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 0024199155 VA Primary

Addresses

Primary practice location

18447 Governor Dr
Ruther Glen, VA 22546-5255

Mailing address

18447 Governor Dr
Ruther Glen, VA 22546-5255
Phone (240) 429-2911

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

NPI Registry JSON

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

{
    "created_epoch": "1792022400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1792022400000",
    "number": "1447156500",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18447 GOVERNOR DR",
            "city": "RUTHER GLEN",
            "state": "VA",
            "postal_code": "225465255",
            "telephone_number": "240-429-2911"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18447 GOVERNOR DR",
            "city": "RUTHER GLEN",
            "state": "VA",
            "postal_code": "225465255",
            "telephone_number": "240-429-2911"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AWAH",
        "first_name": "LIVINGSTONE",
        "middle_name": "KUM",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2026-10-15",
        "last_updated": "2026-10-15",
        "certification_date": "2026-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "VA",
            "license": "0024199155",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ruther Glen, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.