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LIVALITY INTEGRATED HEALTH
NPI 1194507962
Nurse Practitioner - Psychiatric/Mental Health in Middleburg, FL

Active since October 17, 2023
1620 CORSAIR LN STE 201, MIDDLEBURG, FL 32068(904) 787-8850(833) 740-3601 Get Directions Write a Review

NPPES record last updated: October 17, 2023. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Livality Integrated Health NPPES

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

LIVALITY INTEGRATED HEALTH (NPI 1194507962) is a healthcare organization registered as a psychiatric/mental health in Middleburg, Florida and active in the NPI registry since October 2023. The organization lists Tyquitta Perrier, Chief Clinical Officer/owner, as its authorized official.

NPPES Registry Identity

NPI1194507962
Entity TypeOrganization
Primary Taxonomy363LP0808X
Legal Business NameLIVALITY INTEGRATED HEALTH
Location Address1620 CORSAIR LN STE 201Middleburg, FL 32068-8484
Mailing Address1075 Oakleaf Plantation Pkwy, Suite 304, Box 317Orange Park, FL 32065
Phone(904) 787-8850
Fax(833) 740-3601
Organization SubpartNo
Authorized OfficialTyquitta PerrierChief Clinical Officer/owner · (706) 289-2647
Enumeration DateOctober 17, 2023
NPPES CertifiedOctober 17, 2023
✔ NPI 1194507962 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X
1620 CORSAIR LN STE 201, Middleburg, FL 32068
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company).Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Livality Integrated Health is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Livality Integrated Health, which bills Medicare for the services this clinician delivers.

Clinician (1)

Tyquitta Perrier, FNP, PMHNP
Nurse Practitioner
NPI 1467700757
1620 CORSAIR LN STE 201
Middleburg, FL 32068
(904) 787-8850
✔ PECOS✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Livality Integrated Health's NPI number?

The NPI number for Livality Integrated Health is 1194507962. It was assigned to this organization in the NPPES registry on October 17, 2023.

Where is Livality Integrated Health located?

Livality Integrated Health is located at 1620 Corsair Ln Ste 201, Middleburg, FL 32068. The listed phone number is (904) 787-8850.

What is Livality Integrated Health's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Livality Integrated Health enrolled in Medicare?

Yes. Livality Integrated Health is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Livality Integrated Health?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Livality Integrated Health. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Livality Integrated Health accept?

Health plans from Florida Blue (BlueCross BlueShield FL) and Florida Blue HMO (a BlueCross BlueShield FL company) list Livality Integrated Health as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Livality Integrated Health was last updated on October 17, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.