Laura Koff Livingston, NP

Primary specialty

Women's Health Nurse PractitionerTaxonomy code 363LW0102X

License

5015729 Issued in NC

Practice address

4551 New Bern Ave Ste 160
Raleigh, NC 27610-1552

Phone

(919) 556-1008

NPI assigned

Feb 3, 2022

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

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.

• Alamance County Govt

  dba Alamance County Health Department

  • State or Local Public Health Clinic/Center
  • Burlington, NC
  • NPI 1316002629
  NPD (past)

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

{
    "created_epoch": "1643846400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643846400000",
    "number": "1881348324",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8111 REYNARD RD",
            "city": "CHAPEL HILL",
            "state": "NC",
            "postal_code": "275169278",
            "telephone_number": "910-685-5735"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4551 NEW BERN AVE STE 160",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276101552",
            "telephone_number": "919-556-1008"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIVINGSTON",
        "first_name": "LAURA",
        "middle_name": "KOFF",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-02-03",
        "last_updated": "2022-02-03",
        "certification_date": "2022-02-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "NC",
            "license": "5015729",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCBON",
            "identifier": "5015729",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Living Well International Center, PC
• Living With Autism Inc
• Living With Autisum
• Aundria Living
• Kimberly Livingston, MD
• Myiah Livingston, LCSWA
• Reginald Livingston
• Livingwell Home Care Inc (Carolina Medical Staffing)
• Joseph Lizotte, PA-C
• Marta Llibre, M.D.

• Women's Health Nurse Practitioner in Raleigh, NC
• Providers in Raleigh, NC by specialty
• Women's Health Nurse Practitioner in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.