Individual provider Active NPI

Alexis Livingston

  • Nutritionist
  • Saint Leonard, MD
National Provider Identifier
1609675651
Registry record updated Jun 29, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
NutritionistTaxonomy code 133N00000X
License
DX8087 Issued in MD
Practice address
4821 Saint Leonard Rd
Saint Leonard, MD 20685-2888
Phone
(301) 980-4707
NPI assigned
Mar 12, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 29, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nutritionist 133N00000X DX8087 MD Primary

Addresses

Primary practice location

4821 Saint Leonard Rd
Saint Leonard, MD 20685-2888

Mailing address

4705 Allen Earlie Rd
Prince Frederick, MD 20678-3734

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
DX8087MDMDNutritionist

Practice roles

OrganizationSpecialtyStatusNew patients
Living Stone Rooted Health LLC Nutritionist CurrentSince Mar 20, 2025 Accepting new patients

Locations

6201 Greenbelt Rd
Ste U7
Berwyn Heights, MD 20740
Phone (301) 446-3501

4821 Saint Leonard Rd
Saint Leonard, MD 20685

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1741737600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782691200000",
    "number": "1609675651",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4705 ALLEN EARLIE RD",
            "city": "PRINCE FREDERICK",
            "state": "MD",
            "postal_code": "206783734"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4821 SAINT LEONARD RD",
            "city": "SAINT LEONARD",
            "state": "MD",
            "postal_code": "206852888",
            "telephone_number": "301-980-4707"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIVINGSTON",
        "first_name": "ALEXIS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-03-12",
        "last_updated": "2026-06-29",
        "certification_date": "2026-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133N00000X",
            "taxonomy_group": "",
            "desc": "Nutritionist",
            "state": "MD",
            "license": "DX8087",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Leonard, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2026; 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.