Marjorie Ruth Livingston, CRNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

R145196 Issued in MD

Practice address

1643 Liberty Rd Ste 105
Eldersburg, MD 21784-6545

Phone

(478) 250-7092

Fax

(443) 863-6777

NPI assigned

Jul 16, 2011

Last updated

Jan 24, 2024By 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 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Opted out of Medicare

Yes, effective Oct 1, 2020 through Oct 1, 2026

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Guadalupe Center for Healing

  • Medical Specialty Clinic/Center
  • Eldersburg, MD
  • NPI 1144716192
  NPD Authorized official
• Frederick Health Hospital Inc

  dba Frederick Health Hospital

  • General Acute Care Hospital
  • Frederick, MD
  • NPI 1538165527
  NPD (past)

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

{
    "created_epoch": "1310774400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706054400000",
    "number": "1740578343",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "717 COLLIER CT",
            "city": "WESTMINSTER",
            "state": "MD",
            "postal_code": "211589449",
            "telephone_number": "478-250-7092"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1643 LIBERTY RD STE 105",
            "city": "ELDERSBURG",
            "state": "MD",
            "postal_code": "217846545",
            "telephone_number": "478-250-7092",
            "fax_number": "443-863-6777"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "717 Collier Ct",
            "address_purpose": "LOCATION",
            "city": "Westminster",
            "state": "MD",
            "postal_code": "211589449",
            "country_code": "US",
            "telephone_number": "478-250-7092",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LIVINGSTON",
        "first_name": "MARJORIE",
        "middle_name": "RUTH",
        "name_prefix": "Mrs.",
        "credential": "CRNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-07-16",
        "last_updated": "2024-01-24",
        "certification_date": "2024-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MD",
            "license": "R145196",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MD",
            "license": "R145196",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lifebridge Sports Medicine and Rehabilitation LLC
• Chanaea Lindsay
• Kurt B Linkoff, DDS
• Sarah Linthicum
• Janet Denise Little, MD
• Brian William Lloyd, DPT
• Tracy Loppatto, LGPC
• Loretta a Schueler, DDS, Inc
• Lormar Healthcare Solutions
• Shiopei Cheng Low, LAC

• Family Nurse Practitioner in Eldersburg, MD
• Providers in Eldersburg, MD by specialty
• Family Nurse Practitioner in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.