Christy Ann Lively-Harris, MSPA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

WV01436 Issued in WV

Practice address

3157 Robert C Byrd Dr
Brian S Love, MD Inc
Beckley, WV 25801-3724

Phone

(304) 253-9355

Fax

(304) 253-3299

NPI assigned

Mar 10, 2010

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Christy A Lively-Williams Former name

Medicare fee-for-service enrollment

Enrolled in WV

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

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.

• Seneca Health Services, Inc.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Maxwelton, WV
  • NPI 1154532513
  Medicare reassignment NPD
• Seneca Health Services Inc

  • Community/Behavioral Health Agency
  • Maxwelton, WV
  • NPI 1245441609
  NPD (past)

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

{
    "created_epoch": "1268179200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1367884800000",
    "number": "1508189267",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3157 ROBERT C BYRD DR",
            "address_2": "BRIAN S LOVE, MD INC",
            "city": "BECKLEY",
            "state": "WV",
            "postal_code": "258013724",
            "telephone_number": "304-253-9355",
            "fax_number": "304-253-3299"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3157 ROBERT C BYRD DR",
            "address_2": "BRIAN S LOVE, MD INC",
            "city": "BECKLEY",
            "state": "WV",
            "postal_code": "258013724",
            "telephone_number": "304-253-9355",
            "fax_number": "304-253-3299"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIVELY-HARRIS",
        "first_name": "CHRISTY",
        "middle_name": "ANN",
        "name_prefix": "Ms.",
        "credential": "MSPA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-03-10",
        "last_updated": "2013-05-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "WV",
            "license": "01436",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "WV",
            "license": "WV01436",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CHRISTY",
            "last_name": "LIVELY-WILLIAMS",
            "middle_name": "A",
            "credential": "MSPA-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Kerri Ann Linton, MA
• Robert Lamar Linton III, CRNA
• Nichole M. Linzy, FNP
• Staci Morgan Little, MSW
• Angela M Littreal, PTA
• Amanda Lively
• Erica Lively
• Madilyn Elizabeth Lively, FNP
• Brook Lea Lockridge
• Sheryl Logan

• Physician Assistant in Beckley, WV
• Providers in Beckley, WV by specialty
• Physician Assistant in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2013; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.