Individual provider Active NPI

Kia Latea Colleton-Livingston, NP-C

  • Adult Health Nurse Practitioner
  • Concord, NC
National Provider Identifier
1477826451
Registry record updated Dec 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
218559 Issued in NC
Practice address
836 Oak Manor Dr SE
Concord, NC 28025-0053
Phone
(336) 408-5630
NPI assigned
Feb 21, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 10, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LP2300X 218559 NC
Adult Health Nurse Practitioner 363LA2200X 218559 NC Primary
Adult Health Nurse Practitioner 363LA2200X APRN11035647 FL

Addresses

Primary practice location

836 Oak Manor Dr SE
Concord, NC 28025-0053

Mailing address

836 Oak Manor Dr SE
Concord, NC 28025-0053
Phone (336) 408-5630

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC, FL2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20220119000049 NC Practitioner - Nurse Practitioner 3577723063 Reassigns benefits to 4 organizations
I20241219004120 FL Practitioner - Nurse Practitioner 3577723063 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Health Providers of America LLCGroup PAC ID 9931529948, 97 clinicians

Practice addresses (Care Compare)

11230 Ballantyne Trace CT
Charlotte, NC 28277-2791
Phone (704) 544-7220

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
APRN11035647FLMDAdult Health Nurse Practitioner
218559NCMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Curana Health of North Carolina PLLC Multi-Specialty CurrentSince Aug 14, 2024 Accepting new patients
Physicians Eldercare PA Multi-Specialty CurrentSince Aug 14, 2024 Accepting new patients
Signify Health Medical Associates, PLLC Multi-Specialty CurrentSince Jul 11, 2023 Accepting new patients
Sunshine Health Partners, LLC Multi-Specialty CurrentSince Oct 13, 2024 Accepting new patients
Curana Health of Florida LLC Multi-Specialty CurrentSince Oct 13, 2024 Accepting new patients
Choice Consulting Services, PLLC Multi-Specialty PastSince Apr 28, 2014 Accepting new patients

Locations

2332 Galiano St
#2
Coral Gables, FL 33134
Phone (305) 998-0546

5200 NE 2nd Ave
Miami, FL 33137
Phone (305) 762-1387

80 W Lucerne Cir
Orlando, FL 32801
Phone (407) 839-5050

1509 Dulles Dr
Lafayette, LA 70506
Phone (337) 408-0803

5750 Johnston St
Ste 205
Lafayette, LA 70503
Phone (337) 580-3330

555 Fayetteville St
Raleigh, NC 27601
Phone (682) 268-1011

4692 Brownsboro Rd
Winston Salem, NC 27106
Phone (336) 251-1114

4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • FHIR API: https://api.platform.athenahealth.com/19831/brand/2/csg/1/fhir/r4

Organizations & group practices 8

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.

NPI Registry JSON

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

{
    "created_epoch": "1329782400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733788800000",
    "number": "1477826451",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "836 OAK MANOR DR SE",
            "city": "CONCORD",
            "state": "NC",
            "postal_code": "280250053",
            "telephone_number": "336-408-5630"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "836 OAK MANOR DR SE",
            "city": "CONCORD",
            "state": "NC",
            "postal_code": "280250053",
            "telephone_number": "336-408-5630"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLLETON-LIVINGSTON",
        "first_name": "KIA",
        "middle_name": "LATEA",
        "credential": "NP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-02-21",
        "last_updated": "2024-12-10",
        "certification_date": "2024-12-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "NC",
            "license": "218559",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NC",
            "license": "218559",
            "primary": true
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "FL",
            "license": "APRN11035647",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Concord, NC

Sources for this page

Verify at the official NPI Registry.