Livingston Family Healthcare LLC

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

34968 Issued in TN

Legal business name

LIVINGSTON FAMILY HEALTHCARE LLC

Practice address

403 E University St
Livingston, TN 38570-1511

Phone

(931) 403-5939

Fax

(931) 403-5940

NPI assigned

Jun 11, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Kenneth Dale Beaty, M.D.NPI 1255364782

Title

MD/Owner

Phone

(931) 403-5939

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TN

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kenneth Dale Beaty, MD

  • Family Medicine Physician
  • Celina, TN
  • NPI 1255364782
  Medicare reassignment NPD Authorized official
• Ciarra Rachelle Cantrell

  • Family Medicine Physician
  • Monterey, TN
  • NPI 1326629304
  Medicare reassignment NPD
• Mandy N Hayes, FNP-C

  • Family Nurse Practitioner
  • Celina, TN
  • NPI 1063760627
  Medicare reassignment NPD
• Jamie Rup, PA

  • Physician Assistant
  • Indianapolis, IN
  • NPI 1205468543

  TN

  Medicare reassignment

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

{
    "created_epoch": "1213142400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213142400000",
    "number": "1912167115",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "403 E UNIVERSITY ST",
            "city": "LIVINGSTON",
            "state": "TN",
            "postal_code": "385701511",
            "telephone_number": "931-403-5939",
            "fax_number": "931-403-5940"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "403 E UNIVERSITY ST",
            "city": "LIVINGSTON",
            "state": "TN",
            "postal_code": "385701511",
            "telephone_number": "931-403-5939",
            "fax_number": "931-403-5940"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIVINGSTON FAMILY HEALTHCARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-11",
        "last_updated": "2008-06-11",
        "status": "A",
        "authorized_official_last_name": "BEATY",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_middle_name": "DALE",
        "authorized_official_title_or_position": "MD/OWNER",
        "authorized_official_telephone_number": "931-403-5939",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "General Practice",
            "state": "TN",
            "license": "34968",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kenlie Langford
• Christopher Lee
• Emily A Lee, F.N.P.
• Jason H Levoy, CRNA
• Linde-RSS, LLC
• Livingston Regional Hospital
• Livingston Regional Hospital LLC
• Livingston Regional Hospital LLC
• Livingston Regional Hospital LLC
• Livingston Regional Hospital LLC

• General Practice Physician in Livingston, TN
• Providers in Livingston, TN by specialty
• General Practice Physician in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2008; 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.