Brenda Lou Livengood

Primary specialty

School Registered NurseTaxonomy code 163WS0200X

License

089041 Issued in AZ

Practice address

6216 W Glendale Ave
Glendale, AZ 85301-2308

Phone

(623) 435-6230

Fax

(623) 435-6270

NPI assigned

Mar 1, 2007

Last updated

Jul 9, 2007By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1172707200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1689702888",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10955 N 79TH AVE LOT 99",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "853455974",
            "telephone_number": "623-435-6203",
            "fax_number": "623-435-6270"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6216 W GLENDALE AVE",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853012308",
            "telephone_number": "623-435-6230",
            "fax_number": "623-435-6270"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIVENGOOD",
        "first_name": "BRENDA",
        "middle_name": "LOU",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-01",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WS0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, School",
            "state": "AZ",
            "license": "089041",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "920076",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Audra Michelle Little, M.S., CCC-SLP
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• Living Pure Chiropractic LLC
• Joseph Lopez Lizarraga, RN
• Mariela Lizarraga, FNP-C
• Jaziel Llanes Hernandez, MD
• Cassius Lloyd

• School Registered Nurse in Glendale, AZ
• Providers in Glendale, AZ by specialty
• School Registered Nurse in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; 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.