Active NPI
Jessica L Livingston, MSN, APRN
- Psychiatric/Mental Health Nurse Practitioner
- Knoxville, TN
National Provider Identifier
1669644373
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- 13406
- Practice address
- 3720 N Broadway St
Knoxville, TN 37917-3120 - Phone
- (865) 315-8353
- Fax
- (865) 314-8364
- NPI assigned
- Apr 2, 2008
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 13406 | TN | Primary |
| Psychiatric/Mental Health Registered Nurse | 163WP0808X | 145970 | TN |
Addresses
Primary practice location
3720 N Broadway St
Knoxville, TN 37917-3120
Mailing address
3720 N Broadway St
Knoxville, TN 37917-3120
Phone (865) 315-8353
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20080604000708 | TN | Practitioner - Nurse Practitioner | 6608946439 | Practice locations: Greeneville, TN; Knoxville, TN |
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2007
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
3720 N Broadway St
Knoxville, TN 37917-3120
Phone (865) 315-8353
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science - Nursing
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 145970 | TN | MD | Psychiatric/Mental Health Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Parkwest Medical Center | Past | Accepting new patients | |
| Jessica Livingston MSN Aprn | Past | Accepting new patients | |
| Livingston Family Services | Psychiatric/Mental Health | Past | Accepting new patients |
Organizations & group practices 3
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.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Knoxville, TN
- NPI 1942750773
-
- Psychiatric/Mental Health Registered Nurse
- Knoxville, TN
- NPI 1265973028
-
dba Peninsula Div Parkwest MC
- General Acute Care Hospital
- Knoxville, TN
- NPI 1396739165
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1207094400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1452643200000",
"number": "1669644373",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3720 N BROADWAY ST",
"city": "KNOXVILLE",
"state": "TN",
"postal_code": "379173120",
"telephone_number": "865-315-8353",
"fax_number": "865-314-8364"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3720 N BROADWAY ST",
"city": "KNOXVILLE",
"state": "TN",
"postal_code": "379173120",
"telephone_number": "865-315-8353",
"fax_number": "865-314-8364"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LIVINGSTON",
"first_name": "JESSICA",
"middle_name": "L",
"credential": "MSN, APRN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-04-02",
"last_updated": "2016-01-13",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "TN",
"license": "13406",
"primary": true
},
{
"code": "163WP0808X",
"taxonomy_group": "",
"desc": "Registered Nurse, Psychiatric/Mental Health",
"state": "TN",
"license": "145970",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Knoxville, TN
- Elizabeth Livesay
- James Eugene Livesay III, D.O.
- Living Life Dentistry, PLLC (Living Life Dentistry)
- Living Roots Counseling Inc
- Livingston Family Services
- Kristin Livingston
- Renee Sykes Livingston, MA CCC-SLP
- Erdenebileg Lkhagva, DC
- LLB Consulting, PLLC (LLB Behavior Consulting)
- Jackson Burk Lloyd, RN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2016; 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.