LIVE OAK FAMILY PRACTICE, LLC
NPI 1134892201
Nurse Practitioner - Primary Care in Live Oak, FL

Active since July 26, 2021CLIA 10D2233592 · Waiver
1304 OHIO AVE S, LIVE OAK, FL 32064(386) 364-0776 Get Directions Write a Review

NPPES record last updated: July 26, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Live Oak Family Practice, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LIVE OAK FAMILY PRACTICE, LLC (NPI 1134892201) is a healthcare organization registered as a primary care in Live Oak, Florida and active in the NPI registry since July 2021. The organization holds a CLIA Waiver certificate valid through August 23, 2027 and lists Melissa F Peters, Owner, as its authorized official.

NPPES Registry Identity

NPI1134892201
Entity TypeOrganization
Primary Taxonomy363LP2300X
Legal Business NameLIVE OAK FAMILY PRACTICE, LLC
Location Address1304 OHIO AVE SLive Oak, FL 32064-4156
Mailing Address10061 County Road 49Live Oak, FL 32060-7686 · (386) 688-7813
Organization SubpartNo
Authorized OfficialMelissa F PetersOwner · (386) 688-7813
Enumeration DateJuly 26, 2021
NPPES CertifiedJuly 26, 2021
NPI 1134892201 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · Primary CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP2300X
1304 OHIO AVE S, Live Oak, FL 32064

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 10D2233592

Live Oak Family Practice LLC · Live Oak, FL
Active · expires Aug 23, 2027
CLIA Number10D2233592
Laboratory TypePhysician Office
Certificate Effective DateAugust 24, 2025
Certificate Expiration DateAugust 23, 2027
Laboratory DirectorMelissa F. Peters
Laboratory Phone(386) 364-0767
Laboratory LocationLive Oak Family Practice LLC1304 Ohio Ave South, Live Oak, FL 32064
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Practitioner
1304 OHIO AVE S
LIVE OAK, FL 32064
Dermatology
1304 OHIO AVE S
LIVE OAK, FL 32064
Family Medicine
1304 OHIO AVE S
LIVE OAK, FL 32064
Family Medicine
1304 OHIO AVE S
LIVE OAK, FL 32064

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Live Oak Family Practice, LLC's NPI number?

The NPI number for Live Oak Family Practice, LLC is 1134892201. It was assigned to this organization in the NPPES registry on July 26, 2021.

Where is Live Oak Family Practice, LLC located?

Live Oak Family Practice, LLC is located at 1304 Ohio Ave S, Live Oak, FL 32064. The listed phone number is (386) 364-0776.

What is Live Oak Family Practice, LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Primary Care, with taxonomy code 363LP2300X.

Does Live Oak Family Practice, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D2233592) is associated with this NPI, valid through August 23, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Live Oak Family Practice, LLC was last updated on July 26, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.