Savannah Nicole Livesay

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

6220 Issued in TN

Practice address

5048 Lake Forest Dr
Kingsport, TN 37663-3714

Phone

(423) 676-9400

NPI assigned

Dec 15, 2023

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1702598400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1702598400000",
    "number": "1902674260",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5048 LAKE FOREST DR",
            "city": "KINGSPORT",
            "state": "TN",
            "postal_code": "376633714"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5048 LAKE FOREST DR",
            "city": "KINGSPORT",
            "state": "TN",
            "postal_code": "376633714",
            "telephone_number": "423-676-9400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIVESAY",
        "first_name": "SAVANNAH",
        "middle_name": "NICOLE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-12-15",
        "last_updated": "2023-12-15",
        "certification_date": "2023-12-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "TN",
            "license": "6220",
            "primary": true
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• April Little
• Harold Christopher Little, PA
• Jim R Littlejohn, MD
• Curtis Litton, SLP
• Sallie H Lively, NP
• Amanda M Lizzio, OTR/L
• Gerald F London, MD FACP
• Megan Long, FNP-C
• Michael August Long, M.D.
• Kristen N. Looney, NP

• Occupational Therapist in Kingsport, TN
• Providers in Kingsport, TN by specialty
• Occupational Therapist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2023; 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.