Yolanda Livingston, APRN
Individual provider Active NPI Family Nurse Practitioner · Greenbrier, TN
NPI 1609599083 · NPPES record last updated Feb 9, 2023
Key facts
- NPI
- 1609599083
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 31889 (TN)
- Practice address
- 2143 Highway 41 S
Greenbrier, TN 37073-4534 - Phone
- (615) 205-1277
- Fax
- (615) 205-1278
- NPI assigned
- Sep 21, 2022
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 17
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Fast Pace Medical Clinic PLLC
Practice addresses (Care Compare)
100 E Tennessee St
Collinwood, TN 38450
Phone (931) 724-9000
2660 Madison St
Clarksville, TN 37043-5498
Phone (931) 263-0581
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TN
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20230223000401 | TN | Practitioner - Nurse Practitioner | 7719350792 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Master of Science - Nursing, Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0000031889 | TN | MD | Nurse Practitioner |
| 31889 | TN | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Upperline Healthcare, PC | Nurse Practitioner | Current |
Accepting new patients |
| Fast Pace Medical Clinic PLLC | Current |
Accepting new patients | |
| Upperline Healthcare, PC | Current |
Accepting new patients | |
| Fast Pace Medical Clinic PLLC | Current |
Accepting new patients |
Locations
7348 E Brainerd Rd
Chattanooga, TN 37421
Phone (205) 822-8038
2143 Highway 41 S
Greenbrier, TN 37073
Phone (615) 205-1277
1128 N Castle Heights Ave
Lebanon, TN 37087
Phone (423) 352-4381
1307 N Ellington Pkwy
Lewisburg, TN 37091
Phone (931) 359-4555
108 Courtright Rd
Martin, TN 38237
Phone (731) 281-4183
1420 W College St
Pulaski, TN 38478
Phone (931) 363-3004
3813 Old Port Royal Rd N
Spring Hill, TN 37174
Phone (931) 487-1006
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 31889 | TN | Yes |
| Nurse Practitioner | 363L00000X | 0000031889 | TN |
Addresses
Primary practice location
2143 Highway 41 S
Greenbrier, TN 37073-4534
Mailing address
2143 Highway 41 S
Greenbrier, TN 37073-4534
Phone (615) 205-1277
Other practice location 1
886 S Ridge Trl
Clarksville, TN 37043-8271
Phone (313) 737-7806
Other providers in Greenbrier, TN
- Teresa S Jones
- Dana King
- Juliet Lavie
- Riley Lawyer
- William Michael Lewis
- Amy Niccole Madden-Ray
- Charles Andrew Mullins
- Jo Susan Offutt-Blackaby
- Cinthya C Ortiz Morales
- Lauren Pannell
All providers in Greenbrier, TN · Family Nurse Practitioner in Tennessee
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 9, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.