| Livi Medical Services Llc | |
|
6380 E Thomas Rd Ste 100 Scottsdale AZ 85251-7033 | |
| (480) 607-0606 | |
| (480) 498-3725 |
| Full Name | Livi Medical Services Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 6380 E Thomas Rd Ste 100, Scottsdale, Arizona |
| Authorized Official Name and Position | Tabitha Droddy (COO) |
| Authorized Official Contact | 2054786830 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Livi Medical Services Llc 6380 E Thomas Rd Ste 100 Scottsdale AZ 85251-7033 Ph: (480) 607-0606 | Livi Medical Services Llc 6380 E Thomas Rd Ste 100 Scottsdale AZ 85251-7033 Ph: (480) 607-0606 |
| NPI Number | 1457667750 |
|---|---|
| Provider Enumeration Date | 08/24/2010 |
| Last Update Date | 02/10/2023 |
| Medicare PECOS PAC ID | 8820283039 |
|---|---|
| Medicare Enrollment ID | O20101113000222 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457667750 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 41583 (Arizona) | Primary |
| 261QP1100X | Clinic/center - Podiatric | 0523 (Arizona) | Secondary |
| Provider Name | James B Vogt |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1740332352 PECOS PAC ID: 8921991142 Enrollment ID: I20040224000307 |
| Provider Name | Kimberly K Brands |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114029618 PECOS PAC ID: 7416959622 Enrollment ID: I20070131000655 |
| Provider Name | Jordi Livi |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1558545509 PECOS PAC ID: 0749317436 Enrollment ID: I20100429000322 |
| Provider Name | Ramona S Woodworth |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073869947 PECOS PAC ID: 2961652839 Enrollment ID: I20121031000134 |
| Provider Name | Barbara Williams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043699622 PECOS PAC ID: 6204140775 Enrollment ID: I20150729007492 |
| Provider Name | Vicki A Mcleod |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982975074 PECOS PAC ID: 1456668292 Enrollment ID: I20150911000450 |
| Provider Name | Deborah A. Bredeson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437521044 PECOS PAC ID: 2567764418 Enrollment ID: I20160108001240 |
| Provider Name | Amy Isaac Bessert |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992181176 PECOS PAC ID: 3375832546 Enrollment ID: I20160512000387 |
| Provider Name | Nichole C Guinn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386186229 PECOS PAC ID: 5890075725 Enrollment ID: I20161209001132 |
| Provider Name | Krystal Marie Scales |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518404177 PECOS PAC ID: 9032487764 Enrollment ID: I20170621000559 |
| Provider Name | Wesley Kreig Lewis |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1639589302 PECOS PAC ID: 5395014104 Enrollment ID: I20170711002434 |
| Provider Name | Valerie Nicole Scott |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134631120 PECOS PAC ID: 1759649668 Enrollment ID: I20171226001682 |
| Provider Name | Tasha Marie Wood |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972007300 PECOS PAC ID: 9537424502 Enrollment ID: I20180521003204 |
| Provider Name | Jaeha Song |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1700292877 PECOS PAC ID: 6103046826 Enrollment ID: I20180801002735 |
| Provider Name | Denise M Gomez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891279907 PECOS PAC ID: 3577809250 Enrollment ID: I20190117000829 |
| Provider Name | Rachel C Gable |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881172260 PECOS PAC ID: 6002140423 Enrollment ID: I20190618003499 |
| Provider Name | Kathleen A Lupone |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457358764 PECOS PAC ID: 7719101047 Enrollment ID: I20190910003233 |
| Provider Name | Dana L Cook |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770049173 PECOS PAC ID: 2668701772 Enrollment ID: I20190913001986 |
| Provider Name | Hortense Noble |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134783954 PECOS PAC ID: 3476983305 Enrollment ID: I20200416003689 |
| Provider Name | Emily A Spano |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396369401 PECOS PAC ID: 3870917255 Enrollment ID: I20200717001294 |
| Provider Name | Amanda L Bunch |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245796069 PECOS PAC ID: 6709118482 Enrollment ID: I20200819004211 |
| Provider Name | Octavia T Garcia |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457967812 PECOS PAC ID: 3173934114 Enrollment ID: I20201124002089 |
| Provider Name | Wilhelmina Sagoe Annor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669079083 PECOS PAC ID: 9436562022 Enrollment ID: I20201228000586 |
| Provider Name | Karen Ellis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679237846 PECOS PAC ID: 9133519721 Enrollment ID: I20211214003103 |
| Provider Name | Karen Sheridan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023775061 PECOS PAC ID: 4587056635 Enrollment ID: I20220121001464 |
| Provider Name | Ashley Muenz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245990902 PECOS PAC ID: 1456744911 Enrollment ID: I20220204000201 |
| Provider Name | Trazell L. Johnson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659516011 PECOS PAC ID: 1052708815 Enrollment ID: I20220425002493 |
| Provider Name | Taylor N Mathews |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508468323 PECOS PAC ID: 8022499037 Enrollment ID: I20220722000770 |
| Provider Name | David Emanuel Lup |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306503396 PECOS PAC ID: 3870978018 Enrollment ID: I20220923001731 |
| Provider Name | Cyril Theresa Esguerra Gampol |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265158786 PECOS PAC ID: 2062889678 Enrollment ID: I20221110000141 |
| Provider Name | Stacy L. Manes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740903095 PECOS PAC ID: 4183096233 Enrollment ID: I20230217002245 |
| Provider Name | Michelle Lenee Hill |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245944255 PECOS PAC ID: 2062885254 Enrollment ID: I20230309001150 |
| Provider Name | Katelyn Predmore |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619671823 PECOS PAC ID: 9830555192 Enrollment ID: I20230512000115 |
| Provider Name | Elizabeth Vitalo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609483668 PECOS PAC ID: 8527424076 Enrollment ID: I20230525001976 |
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