Active NPI
Christie M. Livengood, CRNP
- Nurse Practitioner
- Cumberland, MD
National Provider Identifier
1750899191
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- AC002277
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Toller Enterprises LLC | Current | Accepting new patients | |
| Solace, LLC. | Current | Accepting new patients | |
| Toller Enterprises LLC | Family | Current | Accepting new patients |
Locations
2232 E Monument St
Baltimore, MD 21205
Phone (667) 207-3552
Interoperability endpoints
- 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.
-
- Psychiatric/Mental Health Nurse Practitioner
- Baltimore, MD
- NPI 1821697533
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Baltimore, MD
- NPI 1205577707
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2023; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.