Tara Leigh Livingston, APRN-NP FNP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

115175 Issued in NE

Practice address

2805 S 88TH St Ste 101
Omaha, NE 68124-3065

Phone

(402) 390-0555

Fax

(402) 926-4793

NPI assigned

Jan 11, 2024

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NE

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

Specialty

Nurse Practitioner

Education

Other, 2023

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Yms PCGroup PAC ID 4789972100, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/16454/brand/1/csg/1/fhir/r4
• Direct secure messaging: tara.livingston.1@16454.direct.athenahealth.com

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.

• Yms PC

  • Internal Medicine Physician
  • Omaha, NE
  • NPI 1255880027
  Medicare reassignment Care Compare group NPD
• Multicare Medical Group PC

  • Pain Medicine (Physical Medicine & Rehabilitation) Physician
  • Papillion, NE
  • NPI 1144741406
  Medicare reassignment
• Signify Health Medical Associates, PLLC

  • General Practice Physician
  • Dallas, TX
  • NPI 1750845863

  NE

  Medicare reassignment

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

{
    "created_epoch": "1704931200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704931200000",
    "number": "1629849328",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14040 S 108TH ST",
            "city": "SPRINGFIELD",
            "state": "NE",
            "postal_code": "680595847",
            "telephone_number": "402-660-5952"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2805 S 88TH ST STE 101",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681243065",
            "telephone_number": "402-390-0555",
            "fax_number": "402-926-4793"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIVINGSTON",
        "first_name": "TARA",
        "middle_name": "LEIGH",
        "credential": "APRN-NP FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-01-11",
        "last_updated": "2024-01-11",
        "certification_date": "2023-12-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NE",
            "license": "115175",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "APRN-NP",
            "identifier": "115175",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jessalynn Livingston
• Kleatha Livingston
• Lakiesha Rene Livingston
• Peighton Livingston
• Sherry Lee Livingston, CAREGIVER
• William C Livingston, DO
• Emily Lizalek, PA-C
• LKZ Therapy LLC
• Haley Llamas, PT, DPT
• Pedro Llanez Ortiz

• Family Nurse Practitioner in Omaha, NE
• Providers in Omaha, NE by specialty
• Family Nurse Practitioner in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2024; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.