Organization Active NPI

Lyving Life Wellness Center, LLC

  • Family Nurse Practitioner
  • Newcastle, OK
National Provider Identifier
1972259935
Registry record updated Feb 28, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
Legal business name
LYVING LIFE WELLNESS CENTER, LLC
Practice address
1645 NW 16TH St
Newcastle, OK 73065-5923
Phone
(405) 513-0705
NPI assigned
Feb 28, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 28, 2022

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

Authorized official

Name
Mrs. Jennyfer Lynn Livingston, APRNNPI 1760017321
Title
Aprn
Phone
(405) 513-0705

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse PractitionerGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 363LF0000X Primary

Addresses

Primary practice location

1645 NW 16TH St
Newcastle, OK 73065-5923

Mailing address

1645 NW 16TH St
Newcastle, OK 73065-5923
Phone (405) 513-0705

Other names 1

  • Lyving Life Wellness Center, LLC Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1646006400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1646006400000",
    "number": "1972259935",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1645 NW 16TH ST",
            "city": "NEWCASTLE",
            "state": "OK",
            "postal_code": "730655923",
            "telephone_number": "405-513-0705"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1645 NW 16TH ST",
            "city": "NEWCASTLE",
            "state": "OK",
            "postal_code": "730655923",
            "telephone_number": "405-513-0705"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LYVING LIFE WELLNESS CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-02-28",
        "last_updated": "2022-02-28",
        "certification_date": "2022-02-28",
        "status": "A",
        "authorized_official_last_name": "LIVINGSTON",
        "authorized_official_first_name": "JENNYFER",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "APRN",
        "authorized_official_telephone_number": "405-513-0705",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "APRN"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lyving Life Wellness Center, LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Newcastle, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 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.