Living Well PLLC

Primary specialty

SpecialistTaxonomy code 174400000X

License

33755 Issued in KY

Legal business name

LIVING WELL PLLC

Practice address

771 Corporate Drive
Suite 610
Lexington, KY 40503-5440

Phone

(859) 410-8550

Fax

(859) 223-0642

NPI assigned

Mar 29, 2012

Organization subpart

No

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

Authorized official

Name

Mr. Max Hammond

Title

Director

Phone

(859) 410-8550

Specialties & licenses 1

Addresses

Other names 1

• Living Well Physical Medicine Doing business as

Locations

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

{
    "created_epoch": "1332979200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1350604800000",
    "number": "1497021869",
    "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 PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-29",
        "last_updated": "2012-10-19",
        "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",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "KY",
            "license": "33755",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Living Well Physical Medicine",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Livassist LLC
• Ellen Livengood
• Ivy Livengood, LCSW
• John Livengood
• Living Well Ohio
• Living Well Rehabilitation & Wellness, PSC
• Living Well Rehabilitation & Wellness, PSC
• Jordan Livingston, PHARMD, BCEMP
• Krystal Livingston
• Monica Livingston, LMT

• Specialist in Lexington, KY
• Providers in Lexington, KY by specialty
• Specialist in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 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.