MYLYNDA S LIVINGSTON


Address: 347 North Smith Avenue, Childrens Specialty Clinic Hematology Oncology Stpl, St Paul, MN 55102
Phone: 6512206732

MYLYNDA S LIVINGSTON (NPI# 1285713396) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1285713396
Entity Type Individual
Full Name MYLYNDA S LIVINGSTON
Credential RN CNP
Practice Address 347 North Smith Avenue
Childrens Specialty Clinic Hematology Oncology Stpl
St Paul
MN 55102
Mailing Address 2910 Centre Pointe Drive
Childrens Health Care 35 121a
Roseville
MN 55113
Practice Telephone 6512206732
Practice Fax Number 6512206005
Mailing Telephone 6518552327
Mailing Fax Number 6518552310
Enumeration Date 2006-11-02
Last Update Date 2012-09-19
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 363L00000X Nurse Practitioner R1465987 MN Physician Assistants & Advanced Practice Nursing Providers
Y 363LP0200X Nurse Practitioner
Specialization: Pediatrics
R1465987 MN Physician Assistants & Advanced Practice Nursing Providers
N 363LP2300X Nurse Practitioner
Specialization: Primary Care
R1465987 MN Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
MN 433657000 05

Office Location

Street Address 347 NORTH SMITH AVENUE
CHILDRENS SPECIALTY CLINIC HEMATOLOGY ONCOLOGY STPL
City ST PAUL
State MN
Zip Code 55102

Providers in the same location

NPI Name Taxonomy Address Enumeration
1225008527 Julie Chu Pediatrics 347 North Smith Avenue, Childrens Specialty Clinic Hematology Oncology Stpl, St Paul, MN 55102 2006-01-26
1033245980 Rebekah A Forrest Nurse Practitioner 347 North Smith Avenue, 401 Midwest Childrens Resource Center, St Paul, MN 55102 2007-02-26
1740369602 Diane J Schmidt Nurse Practitioner 347 North Smith Avenue, Childrens Specialty Clinic Nicu, St Paul, MN 55102 2006-11-03
1386723245 Cathleen M Rock Nurse Practitioner 347 North Smith Avenue, Childrens Specialty Clinic Neurology Stpl, St Paul, MN 55102 2006-11-03
1437238540 Jodie A Raymaker Psychologist 347 North Smith Avenue, Midwest Childrens Resource Center 401, St Paul, MN 55102 2006-11-02
1568566826 John F Helminski Psychologist 347 North Smith Avenue, 401 Midwest Childrens Resource Center, St Paul, MN 55102 2006-09-08
1215039268 Vicki L Nauschultz Psychologist 347 North Smith Avenue, 401, St Paul, MN 55102 2006-09-01
1679686299 Alyssa K Vang Psychologist 347 North Smith Avenue, Childrens Specialty Clinic Psychological Services, St Paul, MN 55102 2006-08-17
1376656991 Jeremy T Alden Clinical Neuropsychologist 347 North Smith Avenue, Childrens Specialty Clinic Psychological Services, St Paul, MN 55102 2006-08-17
1700999331 Denise A Marvinney Psychologist 347 North Smith Avenue, Childrens Specialty Clinic Psychological Services Stpl, St Paul, MN 55102 2006-08-17
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1720623366 Ning Wu Acupuncturist Tcm Health Center, 613 Grand Ave., St. Paul, MN 55102 2019-11-07
1730730615 Tianwei Guo Acupuncturist 613 Grand Avenue, Saint Paul, MN 55102 2019-09-23
1194374850 Justin Crawford Diehl Counselor 976 Juno Avenue, Saint Paul, MN 55102 2019-09-05
1699329169 Elisabeth Johanna Wurtmann Genetic Counselor, MS 310 N Smith Avenue Suite 300, Saint Paul, MN 55102 2019-08-01
1265907083 Lillia Budd Nurse Practitioner 225 Smith Ave N - Suite 400, Mail Route 65400, Saint Paul, MN 55102 2018-10-08
1922505098 Women of Nations Substance Abuse Rehabilitation Facility 73 Leech Street, St. Paul, MN 55102 2018-04-06
1609371939 Courtney Marie Klinkhammer Student in an Organized Health Care Education/Training Program 1026 West Seventh Street, St. Paul, MN 55102 2018-03-28
1427429372 Compass Pathology and Consulting Clinical Medical Laboratory 360 Sherman St Suite 400b, St. Paul, MN 55102 2015-10-16
1639550494 Daniel Delapp Speech-Language Pathologist United Hospital 333 Smith Avenue N, Mail Route 60104, St. Paul, MN 55102 2015-06-17
1124419940 Suzanne Carl Speech-Language Pathologist 360 Colborne Avenue, St. Paul, MN 55102 2015-02-16
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Taxonomy Information

Taxonomy Code 363LP0200X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Pediatrics

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1033470638 Karla Lynn Hurtley Nurse Practitioner Children's Health Care, 345 North Smith Ave, St Paul, MN 55102 2012-05-31
1275503583 Amy R Wein Nurse Practitioner 347 N Smith Ave, Childrens Specialty Clinic Hematology Oncology Stpl, St Paul, MN 55102 2006-01-26
1346241114 Virginia M Mccarthy Nurse Practitioner Children's Primary Clinic - Stpl, 347 North Smith Avenue, St Paul, MN 55102 2005-08-03
1699731422 Michele M Welte Nurse Practitioner 347 North Smith Avenue, Childrens Specialty Clinic Nicu, St Paul, MN 55102 2006-04-21
1114988664 Lynn M Taival Nurse Practitioner 347 North Smith Avenue, Childrens Specialty Clinic Nicu Follow Up Clinic, St Paul, MN 55102 2006-03-31
1871553883 Kimberly A Jacobson Nurse Practitioner 347 North Smith Avenue, Childrens Specialty Clinic Hematology Oncology Stpl, St Paul, MN 55102 2006-03-24
1427018472 Kimberly A Martinez Nurse Practitioner 347 North Smith Avenue, 401 Midwest Childrens Resource Center, St Paul, MN 55102 2006-03-24
1013976554 Nancy Entgelmeier Nurse Practitioner 347 N Smith Ave, Childrens Specialty Clinic Feeding Clinic Stpl Mpls, St Paul, MN 55102 2006-03-22
1871552323 Laurel D Edinburgh Nurse Practitioner 347 North Smith Avenue, #401, Midwest Childrens Resource Center, St Paul, MN 55102 2006-03-22
1437125556 Patricia A Stinchfield Nurse Practitioner 347 N Smith Ave, Childrens Specialty Clinic Infectious Diseases Stpl, St Paul, MN 55102 2006-02-28
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Competitor

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City ST PAUL
Zip Code 55102

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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