MS. MELISSA ANNE LIVINGSTON (NPI# 1558395020) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558395020 |
| Entity Type | Individual |
| Full Name | MS. MELISSA ANNE LIVINGSTON |
| Credential | PA |
| Practice Address |
11300 N Lamar Blvd Austin TX 78753-2665 |
| Practice Telephone | 5128356751 |
| Mailing Telephone | 5128356751 |
| Enumeration Date | 2006-07-10 |
| Last Update Date | 2017-10-31 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
PA05915 | TX | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | MEDICAL LICENSE | PA05915 | 01 |
| NM | LICENSE | PA2006-0012 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063929248 | Melissa Michelle Livingston | Nurse Practitioner | 2100 S Triviz Dr Ste F, Las Cruces, NM 88001-0601 | 2018-01-09 |
| 1700170503 | Melissa Brooke Livingston | Social Worker | 260 Main Street West, Suite 8, Bay Shore, NY 11706 | 2011-06-09 |
| 1649804022 | Melissa Livingston | Registered Nurse | 4473 W 13400 N, Cornish, UT 84308-1743 | 2020-02-25 |
| 1730320714 | Melissa R Livingston | Occupational Therapist | 6500 Excelsior Blvd, St Louis Park, MN 55426-4702 | 2009-03-20 |
| Street Address |
11300 N LAMAR BLVD |
| City | AUSTIN |
| State | TX |
| Zip Code | 78753-2665 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225011190 | Gloria C. Newton | Nurse Practitioner | 11300 N Lamar Blvd, Austin, TX 78753-2665 | 2005-11-23 |
| 1114532694 | Kai Zhang | Pharmacist | 11300 N Lamar Blvd, Austin, TX 78753-2665 | 2020-09-11 |
| 1922613652 | Rhea Ann Marie Conlu King | Pharmacist | 11300 N Lamar Blvd, Austin, TX 78753-2665 | 2020-09-10 |
| 1962037796 | Tina Kunnel | Nurse Practitioner | 11300 N Lamar Blvd, Austin, TX 78753-2665 | 2020-03-12 |
| 1558912485 | Sara Rodriguez | Nurse Practitioner | 11300 N Lamar Blvd, Austin, TX 78753-2665 | 2019-09-23 |
| 1285115980 | Nancy Duong | Registered Nurse | 11300 N Lamar Blvd, Austin, TX 78753-2665 | 2018-08-22 |
| 1477922557 | Alex Shadid | Nurse Practitioner | 11300 N Lamar Blvd, Austin, TX 78753 | 2015-09-18 |
| 1154707289 | Esther Jepkoech Sitienei | Nurse Practitioner | 11300 N Lamar Blvd, Austin, TX 78753-2665 | 2015-07-30 |
| 1780913574 | Nicole Leigh Vondall | Physician Assistant | 11300 N Lamar Blvd, Austin, TX 78753-2665 | 2009-12-08 |
| 1609970490 | Cvs Pharmacy Inc | Pharmacy | 11300 N Lamar Blvd, Austin, TX 78753-2665 | 2006-09-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306486659 | Gc Mental Wellness LLC | Counselor | 601 Farley Drive, Austin, TX 78753 | 2020-01-14 |
| 1871142992 | Virgie Lee Clement | Technician | 9704 Kendal Dr, 9704 Kendal Dr, Austin, TX 78753 | 2019-09-11 |
| 1851870190 | Mallory Lynch, Od, Pllc | Optometrist | 500 Canyon Ridge Dr. Suite L300, Austin, TX 78753 | 2018-08-08 |
| 1205320538 | Cameron Health Care LLC | Skilled Nursing Facility | 8324 Cameron Road, Austin, TX 78753 | 2018-06-20 |
| 1851883433 | Greater Austin Transportation Company | Taxi | 10630 Joseph Clayton Dr., Bldg A, Austin, TX 78753 | 2018-05-31 |
| 1093212151 | Enamel Dentistry Parmer Park, Pllc | Dentist | 1606 E. Parmer Ln, Suite #125, Austin, TX 78753 | 2018-04-06 |
| 1699270462 | Kelly Marcello | Nurse Practitioner | 11207 N Lamar Blvd Ste B, Austin, TX 78753 | 2018-03-26 |
| 1710481155 | Techridge Oaks, LLC | Assisted Living Facility | 400 E Yager Ln, Austin, TX 78753 | 2018-03-21 |
| 1013441286 | Mydental At Norwood Pllc | Dentist | 1045 Norwood Park Blvd, Suite 103, Austin, TX 78753 | 2017-04-14 |
| 1477908093 | Nicole Amy Kosich | Massage Therapist | 8740 N. Lamar Blvd., Austin, TX 78753 | 2016-05-02 |
| Find all providers in zip 78753 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831704576 | Leila Olive Adell | Physician Assistant | 1221 S Congress Ave Apt 331, Austin, TX 78704-2461 | 2020-09-10 |
| 1740816982 | Alyssa Conrad | Physician Assistant | 4818 Star Jasmine Dr, Austin, TX 78723-6059 | 2020-03-19 |
| 1588207344 | Haley Margaret Roberts | Physician Assistant | 2200 Park Bend Dr Bldg 3-300, Austin, TX 78758-5386 | 2019-10-24 |
| 1073178901 | Ndukaku Dayton Ibe | Physician Assistant | 4411 Spicewood Springs Rd Apt 208, Austin, TX 78759-8570 | 2019-05-06 |
| 1285176172 | Leah Nichole Burandt | Physician Assistant | 2512 S Interstate 35 Ste 310, Austin, TX 78704 | 2016-11-09 |
| 1437607793 | Danielle Marie Werge | Physician Assistant | 6601 Vaught Ranch Rd, Suite 200, Austin, TX 78730-2307 | 2016-09-15 |
| 1831556158 | Kristin Serrano | Physician Assistant | 1524 S Interstate 35, Suite 202, Austin, TX 78704-8931 | 2016-01-16 |
| 1912309675 | Rachael Lichtenberger | Physician Assistant | 11609 Anderson Mill Rd, Austin, TX 78750-1354 | 2014-09-24 |
| 1417367707 | Sarah Caroline Moody Vance | Physician Assistant | 3000 N Interstate 35 Ste 600, Austin, TX 78705-1850 | 2014-05-07 |
| 1801165485 | Maegen Ricki Kennedy | Physician Assistant | 4107 South Captial Texas Hwy Suite 100a, Austin, TX 78704 | 2011-12-28 |
| Find all providers in AUSTIN | ||||
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| 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.