Livewell Family Health, PC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

Legal business name

LIVEWELL FAMILY HEALTH, PC

Practice address

517 W Main St
Suite E
Wise, VA 24293-6905

Phone

(276) 328-2961

Fax

(276) 328-2965

NPI assigned

Aug 5, 2010

Last updated

Aug 10, 2010By 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

Misty Bendall, FNP

Title

Owner

Phone

(276) 328-2961

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Crystal Large, FNP

  • Family Nurse Practitioner
  • Wise, VA
  • NPI 1568709129
  NPD (past)

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

{
    "created_epoch": "1280966400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1281398400000",
    "number": "1487968194",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3077",
            "city": "WISE",
            "state": "VA",
            "postal_code": "242933077",
            "telephone_number": "276-328-2961",
            "fax_number": "276-328-2965"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "517 W MAIN ST",
            "address_2": "SUITE E",
            "city": "WISE",
            "state": "VA",
            "postal_code": "242936905",
            "telephone_number": "276-328-2961",
            "fax_number": "276-328-2965"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIVEWELL FAMILY HEALTH, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-08-05",
        "last_updated": "2010-08-10",
        "status": "A",
        "authorized_official_last_name": "BENDALL",
        "authorized_official_first_name": "MISTY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "276-328-2961",
        "authorized_official_credential": "FNP"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Labxperior Corporation (Labxperior)
• Crystal Large, FNP
• Martha A Leonard, LPC
• Lifecare Ambulance Service, Inc.
• Lincare Inc.
• Lutheran Family Service of VA
• Sarabeth Marshall
• Matthew Jessee Chiropractic PC (Highlands Chiropractic & Wellness Clinic)
• Alycia G Moll
• Ashley Mooney

• Family Nurse Practitioner in Wise, VA
• Providers in Wise, VA by specialty
• Family Nurse Practitioner in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2010; 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.