Individual provider Active NPI

Christie M. Livengood, CRNP

  • Nurse Practitioner
  • Cumberland, MD
National Provider Identifier
1750899191
Registry record updated Feb 22, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
AC002277 Issued in MD
Practice address
12301 Amherst Ave NE
Cumberland, MD 21502-8123
Phone
(240) 727-7740
Fax
(240) 512-8564
NPI assigned
Jan 19, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 22, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X AC002277 MD Primary

Addresses

Primary practice location

12301 Amherst Ave NE
Cumberland, MD 21502-8123

Mailing address

104 W Creek Run Loop
Fort Ashby, WV 26719-5002
Phone (240) 727-7740

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
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.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180514000104 MD Practitioner - Nurse Practitioner 6002170313 Reassigns benefits to 1 organization
Practice locations: Cumberland, MD

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Toller Enterprises LLC CurrentSince Apr 7, 2022 Accepting new patients
Solace, LLC. CurrentSince Feb 26, 2023 Accepting new patients
Toller Enterprises LLC Family CurrentSince Apr 7, 2022 Accepting new patients

Locations

2232 E Monument St
Baltimore, MD 21205
Phone (667) 207-3552

Interoperability endpoints

  • Direct secure messaging: christie.livengood@202362935902212.direct.elationemr.com

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.

NPI Registry JSON

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

{
    "created_epoch": "1516320000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1677024000000",
    "number": "1750899191",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "104 W CREEK RUN LOOP",
            "city": "FORT ASHBY",
            "state": "WV",
            "postal_code": "267195002",
            "telephone_number": "240-727-7740",
            "fax_number": "301-729-0180"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12301 AMHERST AVE NE",
            "city": "CUMBERLAND",
            "state": "MD",
            "postal_code": "215028123",
            "telephone_number": "240-727-7740",
            "fax_number": "240-512-8564"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIVENGOOD",
        "first_name": "CHRISTIE",
        "middle_name": "M.",
        "credential": "CRNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-01-19",
        "last_updated": "2023-02-22",
        "certification_date": "2023-02-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MD",
            "license": "AC002277",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cumberland, MD

Sources for this page

Verify at the official NPI Registry.