Provider Demographics
NPI:1093603060
Name:LIVINGSTON, TRISTIN ARTHUR CAREY
Entity type:Individual
Prefix:
First Name:TRISTIN
Middle Name:ARTHUR CAREY
Last Name:LIVINGSTON
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:400 MISSION RANCH BLVD APT 91
Mailing Address - Street 2:
Mailing Address - City:CHICO
Mailing Address - State:CA
Mailing Address - Zip Code:95926-5130
Mailing Address - Country:US
Mailing Address - Phone:530-521-9816
Mailing Address - Fax:
Practice Address - Street 1:492 RIO LINDO AVE
Practice Address - Street 2:
Practice Address - City:CHICO
Practice Address - State:CA
Practice Address - Zip Code:95926-1815
Practice Address - Country:US
Practice Address - Phone:530-879-3311
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-06-26
Last Update Date:2025-06-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes372600000XNursing Service Related ProvidersAdult Companion