The Livingston Agency, PLLC

Primary specialty

Gynecology PhysicianTaxonomy code 207VG0400X

Legal business name

THE LIVINGSTON AGENCY, PLLC

Doing business as

Sanctum Med

Practice address

16970 Dallas Pkwy Ste 500
Dallas, TX 75248-1983

Phone

(972) 248-9455

Fax

(972) 312-1990

NPI assigned

Jan 29, 2020

Last updated

Dec 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jessica A. Shepherd, MD

Title

Managing Member

Phone

(972) 248-9455

Specialties & licenses 1

Addresses

Other names 1

• Sanctum Med Doing business as

Locations

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

{
    "created_epoch": "1580256000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1608595200000",
    "number": "1477184398",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16970 DALLAS PKWY STE 500",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752481983",
            "telephone_number": "972-248-9455",
            "fax_number": "972-312-1990"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16970 DALLAS PKWY STE 500",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752481983",
            "telephone_number": "972-248-9455",
            "fax_number": "972-312-1990"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE LIVINGSTON AGENCY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-01-29",
        "last_updated": "2020-12-22",
        "certification_date": "2020-12-22",
        "status": "A",
        "authorized_official_last_name": "SHEPHERD",
        "authorized_official_first_name": "JESSICA",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "972-248-9455",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207VG0400X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sanctum Med",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Gynecology Physician in Dallas, TX
• Providers in Dallas, TX by specialty
• Gynecology Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2020; 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.