Provider Demographics
NPI:1568647972
Name:LIVENGOOD, LINDSAY A (CPNP, RN)
Entity Type:Individual
Prefix:
First Name:LINDSAY
Middle Name:A
Last Name:LIVENGOOD
Suffix:
Gender:F
Credentials:CPNP, RN
Other - Prefix:
Other - First Name:LINDSAY
Other - Middle Name:A
Other - Last Name:KLEIN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:CPNP, RN
Mailing Address - Street 1:500 CENTRE PARK DR
Mailing Address - Street 2:
Mailing Address - City:ASHEVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28805-1262
Mailing Address - Country:US
Mailing Address - Phone:828-254-4337
Mailing Address - Fax:828-251-9240
Practice Address - Street 1:500 CENTRE PARK DR
Practice Address - Street 2:
Practice Address - City:ASHEVILLE
Practice Address - State:NC
Practice Address - Zip Code:28805-1262
Practice Address - Country:US
Practice Address - Phone:828-254-4337
Practice Address - Fax:828-251-9240
Is Sole Proprietor?:No
Enumeration Date:2008-01-03
Last Update Date:2013-04-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC190518363LP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC190518OtherNORTH CAROLINA BOARD OF NURSING
GA581480658OtherTAX ID