Active NPI
Kia Latea Colleton-Livingston, NP-C
- Adult Health Nurse Practitioner
- Concord, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Health Nurse Practitioner
- License
- 218559
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Primary Care Nurse Practitioner | 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, FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| APRN11035647 | FL | MD | Adult Health Nurse Practitioner |
| 218559 | NC | MD | Adult Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Curana Health of North Carolina PLLC | Multi-Specialty | Current | Accepting new patients |
| Physicians Eldercare PA | Multi-Specialty | Current | Accepting new patients |
| Signify Health Medical Associates, PLLC | Multi-Specialty | Current | Accepting new patients |
| Sunshine Health Partners, LLC | Multi-Specialty | Current | Accepting new patients |
| Curana Health of Florida LLC | Multi-Specialty | Current | Accepting new patients |
| Choice Consulting Services, PLLC | Multi-Specialty | Past | 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
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
- 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.
-
- Internal Medicine Physician
- Durham, NC
- NPI 1770217176
Multi-Specialty
-
- Internal Medicine Physician
- Coral Gables, FL
- NPI 1013628676
Multi-Specialty
-
- General Practice Physician
- Dallas, TX
- NPI 1750845863
Multi-Specialty, NC
-
- Internal Medicine Physician
- Orlando, FL
- NPI 1710595640
Multi-Specialty
-
- Internal Medicine Physician
- Coral Gables, FL
- NPI 1043919822
-
- Internal Medicine Physician
- Raleigh, NC
- NPI 1982079679
Multi-Specialty
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 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.