Individual provider Active NPI

Susanna K Livingston, FNP

  • Family Nurse Practitioner
  • Tucson, AZ
National Provider Identifier
1811056021
Registry record updated Jan 17, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN027634 Issued in AZ
Practice address
310 N Wilmot Rd
307
Tucson, AZ 85711-2618
Phone
(520) 333-9354
Fax
(520) 441-2557
NPI assigned
Dec 6, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 17, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X RN027634 AZ Primary

Addresses

Primary practice location

310 N Wilmot Rd
307
Tucson, AZ 85711-2618

Mailing address

310 N Wilmot Rd
307
Tucson, AZ 85711-2618
Phone (520) 333-9354

Other identifiers 1

IdentifierTypeStateIssuer
760662MedicaidAZ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
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
I20051130000478 AZ Practitioner - Nurse Practitioner 7618997008 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 1977
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pinnacle Health Care LLCGroup PAC ID 3274706593, 8 clinicians

Practice addresses (Care Compare)

5830 E Pima St
Tucson, AZ 85712-5611
Phone (520) 722-5515

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN027634AZMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Tucson Family Care, LLC Family CurrentSince Jan 1, 2019 Accepting new patients
Pinnacle Healthcare, LLC CurrentSince Oct 1, 2014 Accepting new patients
David Engelsberg MD PC PastSince Jan 1, 2019 Accepting new patients
Comprehensive Care of Tucson PLLC Past Accepting new patients
Pima Health System Past Accepting new patients
Nes Integrative Health Management LLC PastSince Sep 15, 2012 Accepting new patients

Locations

6624 E Carondelet Dr
Tucson, AZ 85710
Phone (520) 818-8477

6890 E Sunrise Dr
Ste 120
Tucson, AZ 85750
Phone (520) 408-4321

1785 E Skyline Dr
Ste 181
Tucson, AZ 85718
Phone (520) 433-4964

5830 E Pima St
Tucson, AZ 85712
Phone (520) 722-5515

2250 N Craycroft Rd
Ste 250
Tucson, AZ 85712
Phone (520) 546-3400

5663 E Grant Rd
Tucson, AZ 85712
Phone (520) 336-9179

Organizations & group practices 7

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": "1165363200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1358380800000",
    "number": "1811056021",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "310 N WILMOT RD",
            "address_2": "307",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857112618",
            "telephone_number": "520-333-9354",
            "fax_number": "520-441-2557"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "310 N WILMOT RD",
            "address_2": "307",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857112618",
            "telephone_number": "520-333-9354",
            "fax_number": "520-441-2557"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIVINGSTON",
        "first_name": "SUSANNA",
        "middle_name": "K",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-06",
        "last_updated": "2013-01-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "RN027634",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "760662",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tucson, AZ

Sources for this page

Verify at the official NPI Registry.