Active NPI
Lyving Life Wellness Center, LLC
- Family Nurse Practitioner
- Newcastle, OK
National Provider Identifier
1972259935
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Jennyfer Lynn Livingston, APRN
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 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
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Nurse Practitioner
- Edmond, OK
- NPI 1760017321
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.