Liv Again Wellness

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

Legal business name

LIV AGAIN WELLNESS

Practice address

5 Lasalle St
Vineland, NJ 08360-4223

Phone

(856) 340-1396

NPI assigned

Jul 23, 2024

Organization subpart

No

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

Authorized official

Name

Christine GravesNPI 1699414920

Title

Owner

Phone

(856) 340-1396

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Locations

Practitioners 1

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

• Christine Irene Graves, NP

  • Family Nurse Practitioner
  • Cherry Hill, NJ
  • NPI 1699414920
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1721692800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1721692800000",
    "number": "1528896438",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 LASALLE ST",
            "city": "VINELAND",
            "state": "NJ",
            "postal_code": "083604223"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 LASALLE ST",
            "city": "VINELAND",
            "state": "NJ",
            "postal_code": "083604223",
            "telephone_number": "856-340-1396"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIV AGAIN WELLNESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-07-23",
        "last_updated": "2024-07-23",
        "certification_date": "2024-07-23",
        "status": "A",
        "authorized_official_last_name": "GRAVES",
        "authorized_official_first_name": "CHRISTINE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "856-340-1396"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Trina Marie Lisko, DO
• Little Smiles Pediatric Dentistry of South Jersey (Little Smiles)
• Andrew K Liu, M.D.
• Charles Liu, D.D.S
• Stephanie Liu
• Iyana S Livingston
• Zaiya Amire Loatman
• Cheryl Lynn Loddo, LCSW LCADC
• Lakshana Logeswaran, DO
• Nayarith Lopez, DO

• Family Nurse Practitioner in Vineland, NJ
• Providers in Vineland, NJ by specialty
• Family Nurse Practitioner in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2024; 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.