Livewell Family Medicine

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

Legal business name

LIVEWELL FAMILY MEDICINE

Practice address

1630 NW Broad St Ste 100
Murfreesboro, TN 37129-4435

Phone

(615) 431-8431

Fax

(615) 431-8531

NPI assigned

Sep 17, 2024

Organization subpart

No

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

Authorized official

Name

Mrs. Emma Mercedes Shupp, FNP-CNPI 1225375538

Title

Owner

Phone

(615) 431-8431

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in TN2 enrollments

Enrollment records 2

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 1

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

• Emma Mercedes Shupp, FNP

  • Family Nurse Practitioner
  • Murfreesboro, TN
  • NPI 1225375538
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1726531200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1726531200000",
    "number": "1740017318",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1630 NW BROAD ST STE 100",
            "city": "MURFREESBORO",
            "state": "TN",
            "postal_code": "371294435",
            "telephone_number": "615-431-8431"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1630 NW BROAD ST STE 100",
            "city": "MURFREESBORO",
            "state": "TN",
            "postal_code": "371294435",
            "telephone_number": "615-431-8431",
            "fax_number": "615-431-8531"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIVEWELL FAMILY MEDICINE",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-09-17",
        "last_updated": "2024-09-17",
        "certification_date": "2024-09-17",
        "status": "A",
        "authorized_official_last_name": "SHUPP",
        "authorized_official_first_name": "EMMA",
        "authorized_official_middle_name": "MERCEDES",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "615-431-8431",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "FNP-C"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "www.livewellfamilymed.com",
            "affiliation": "N",
            "endpointDescription": "Website",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1630 NW Broad St Ste 100",
            "city": "Murfreesboro",
            "state": "TN",
            "country_code": "US",
            "postal_code": "371294435",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Listen Well Behavioral Health, LLC
• Joseph A Little, MD
• Emily Litton, BT
• Live You and Me LLC
• Lisa S Lively-Brindley, PH.D
• LL&S Behavioral Health Services
• Meagan D Lloyd
• Quasheema Lloyd
• Tiffany Locke, FNP-BC
• Raven Lockridge, RBT

• Primary Care Clinic/Center in Murfreesboro, TN
• Providers in Murfreesboro, TN by specialty
• Primary Care Clinic/Center in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.