Organization Active NPI

Keri L Livingstone MD PA

  • Specialist
  • Miami Shores, FL
National Provider Identifier
1508076761
Registry record updated Sep 26, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
KERI L LIVINGSTONE MD PA
Practice address
660 NE 95TH St
Suite 1
Miami Shores, FL 33138-2758
Phone
(305) 751-8071
Fax
(305) 751-3045
NPI assigned
May 23, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 26, 2011

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

Authorized official

Name
Dr. Keri Lee Livingstone, MDNPI 1316902455
Title
Pres
Phone
(305) 751-8071

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X Primary

Addresses

Primary practice location

660 NE 95TH St
Suite 1
Miami Shores, FL 33138-2758

Mailing address

660 NE 95TH St
Suite 1
Miami Shores, FL 33138-2758
Phone (305) 751-8071

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090911000698 FL Part B Supplier - Clinic/Group Practice 1850446048 Receives reassigned benefits from 1 practitioner
Practice locations: Miami Shores, FL

National Provider Directory

National Provider Directory

Locations

660 NE 95th St
Ste 1
Miami Shores, FL 33138
Phone (305) 751-8071

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1179878400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1316995200000",
    "number": "1508076761",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "660 NE 95TH ST",
            "address_2": "SUITE 1",
            "city": "MIAMI SHORES",
            "state": "FL",
            "postal_code": "331382758",
            "telephone_number": "305-751-8071",
            "fax_number": "305-751-3045"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "660 NE 95TH ST",
            "address_2": "SUITE 1",
            "city": "MIAMI SHORES",
            "state": "FL",
            "postal_code": "331382758",
            "telephone_number": "305-751-8071",
            "fax_number": "305-751-3045"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KERI L LIVINGSTONE MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-23",
        "last_updated": "2011-09-26",
        "status": "A",
        "authorized_official_last_name": "LIVINGSTONE",
        "authorized_official_first_name": "KERI",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "PRES",
        "authorized_official_telephone_number": "305-751-8071",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami Shores, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.