Living Well Rehabilitation & Wellness, PSC

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

Legal business name

LIVING WELL REHABILITATION & WELLNESS, PSC

Doing business as

Living Well Body

Practice address

771 Corporate Drive
Suite 610
Lexington, KY 40503-5440

Phone

(859) 410-8550

Fax

(859) 223-0642

NPI assigned

Oct 1, 2012

Last updated

Oct 1, 2012By 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

Max HammondNPI 1316389059

Title

Director

Phone

(859) 410-8550

Specialties & licenses 1

Addresses

Other names 1

• Living Well Body Doing business as

Practitioners 2

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.

• Max Dean Hammond III

  • Other Technician
  • Lexington, KY
  • NPI 1316389059
  Authorized official Same address or phone
• Karen S Jenkins, ARNP

  • Family Nurse Practitioner
  • Louisville, KY
  • NPI 1861655078
  NPD (past)

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

{
    "created_epoch": "1349049600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1349049600000",
    "number": "1497006407",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 910544",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405910544",
            "telephone_number": "859-410-8550",
            "fax_number": "859-223-0642"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "771 CORPORATE DRIVE",
            "address_2": "SUITE 610",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405035440",
            "telephone_number": "859-410-8550",
            "fax_number": "859-223-0642"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIVING WELL REHABILITATION & WELLNESS, PSC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-10-01",
        "last_updated": "2012-10-01",
        "status": "A",
        "authorized_official_last_name": "HAMMOND",
        "authorized_official_first_name": "MAX",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "859-410-8550"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Living Well Body",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Ellen Livengood
• Ivy Livengood, LCSW
• John Livengood
• Living Well Ohio
• Living Well PLLC (Living Well Physical Medicine)
• Living Well Rehabilitation & Wellness, PSC
• Jordan Livingston, PHARMD, BCEMP
• Krystal Livingston
• Monica Livingston, LMT
• Amanda Lizer

• Nurse Practitioner in Lexington, KY
• Providers in Lexington, KY by specialty
• Nurse Practitioner in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2012; 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.