Individual provider Active NPI

Livia Manner, FNP-BC

  • Family Nurse Practitioner
  • Hollywood, FL
National Provider Identifier
1699067967
Registry record updated Apr 28, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
ARNP9212189 Issued in FL
Practice address
1940 Harrison St Ste 308
Hollywood, FL 33020-5181
Phone
(954) 399-3229
NPI assigned
May 5, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 28, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X ARNP9212189 FL Primary

Addresses

Primary practice location

1940 Harrison St Ste 308
Hollywood, FL 33020-5181

Mailing address

1940 Harrison St Ste 308
Hollywood, FL 33020-5181
Phone (954) 399-3229

Other identifiers 1

IdentifierTypeStateIssuer
1699067967MedicaidFL

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address livia@aestheticexcellence.us Direct

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
ARNP9212189FLMDFamily Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1304553600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1588032000000",
    "number": "1699067967",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1940 HARRISON ST STE 308",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330205181",
            "telephone_number": "954-399-3229",
            "fax_number": "954-399-3229"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1940 HARRISON ST STE 308",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330205181",
            "telephone_number": "954-399-3229"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANNER",
        "first_name": "LIVIA",
        "credential": "FNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-05-05",
        "last_updated": "2020-04-28",
        "certification_date": "2020-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "ARNP9212189",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1699067967",
            "state": "FL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "livia@aestheticexcellence.us",
            "affiliation": "N",
            "endpointDescription": "Clinic email address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1940 Harrison St Ste 308",
            "city": "Hollywood",
            "state": "FL",
            "country_code": "US",
            "postal_code": "330205181",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Hollywood, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2020; 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.