Individual provider Active NPI

Tonia Livingston, MS, CCC/SLP

  • Speech-Language Pathologist
  • Schulenburg, TX
National Provider Identifier
1790017002
Registry record updated Sep 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
104086 Issued in TX
Practice address
411 Summit St
Schulenburg, TX 78956-1532
Phone
(979) 743-2108
Fax
(979) 743-2109
NPI assigned
Feb 11, 2010
Last updated
Sep 10, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 104086 TX Primary

Addresses

Primary practice location

411 Summit St
Schulenburg, TX 78956-1532

Mailing address

411 Summit St
Schulenburg, TX 78956-1532
Phone (979) 743-2108

Other identifiers 3

IdentifierTypeStateIssuer
2114126-01MedicaidTX
2114126-03MedicaidTX
2114126-02MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110216000547 TX Practitioner - Qualified Speech Language Pathologist 4183805674 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Speech Language Pathologist
Education
Texas Tech University Health Science Center School of Medicine, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Srubar-Livingston Healthcare Contractors, LLCGroup PAC ID 5597902981, 3 clinicians

Practice addresses (Care Compare)

411 Summit St
Schulenburg, TX 78956-1532
Phone (979) 743-2108

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

Practice roles

OrganizationSpecialtyStatusNew patients
Srubar-Livingston Healthcare Contractors, LLC Speech-Language Pathologist CurrentSince Apr 25, 2011 Accepting new patients

Locations

411 Summit St
Schulenburg, TX 78956
Phone (979) 743-2108

725 Upton Ave
Schulenburg, TX 78956
Phone (979) 743-2108

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1265846400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725926400000",
    "number": "1790017002",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "411 SUMMIT ST",
            "city": "SCHULENBURG",
            "state": "TX",
            "postal_code": "789561532",
            "telephone_number": "979-743-2108",
            "fax_number": "979-743-2109"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "411 SUMMIT ST",
            "city": "SCHULENBURG",
            "state": "TX",
            "postal_code": "789561532",
            "telephone_number": "979-743-2108",
            "fax_number": "979-743-2109"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIVINGSTON",
        "first_name": "TONIA",
        "name_prefix": "Mrs.",
        "credential": "MS, CCC/SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-02-11",
        "last_updated": "2024-09-10",
        "certification_date": "2024-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "TX",
            "license": "104086",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2114126-01",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2114126-03",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2114126-02",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Schulenburg, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 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.