Live Well Direct Primary Care and Consulting

Primary specialty

Primary Care Nurse PractitionerTaxonomy code 363LP2300X

Legal business name

LIVE WELL DIRECT PRIMARY CARE AND CONSULTING

Practice address

37 Park Cir
Cape Elizabeth, ME 04107-9682

Phone

(207) 939-2376

Fax

(866) 709-3494

NPI assigned

Apr 22, 2025

Organization subpart

No

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

Authorized official

Name

Melissa Bicknell, FNP-CNPI 1457862450

Title

Owner

Phone

(207) 939-2376

Specialties & licenses 1

Addresses

Practitioners 1

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

• Melissa Bicknell, FNP-C

  • Family Nurse Practitioner
  • Springvale, ME
  • NPI 1457862450
  NPD Authorized official

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

{
    "created_epoch": "1745280000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1745280000000",
    "number": "1619764768",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "37 PARK CIR",
            "city": "CAPE ELIZABETH",
            "state": "ME",
            "postal_code": "041079682",
            "telephone_number": "207-939-2376"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "37 PARK CIR",
            "city": "CAPE ELIZABETH",
            "state": "ME",
            "postal_code": "041079682",
            "telephone_number": "207-939-2376",
            "fax_number": "866-709-3494"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIVE WELL DIRECT PRIMARY CARE AND CONSULTING",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-04-22",
        "last_updated": "2025-04-22",
        "certification_date": "2025-04-22",
        "status": "A",
        "authorized_official_last_name": "BICKNELL",
        "authorized_official_first_name": "MELISSA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "207-939-2376",
        "authorized_official_credential": "FNP-C"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Matthew Donald Kennedy, PHARM.D
• Alexandra Wilson Kennie, DPT
• Kerry Bennett, LLC
• Peter Kouros
• Laura McGrath LLC (Cape Physical Therapy)
• Meghan Loring, PT
• Kathleen Luke, MA. COUNSELING
• Frank Luongo, PH.D.
• Susan Lichtman Maataoui, PH.D.
• Maine Assisted Living LLC (Kindred Assisted Living-Village Crossings)

• Primary Care Nurse Practitioner in Cape Elizabeth, ME
• Providers in Cape Elizabeth, ME by specialty
• Primary Care Nurse Practitioner in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2025; 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.