LIVE WELL DPC
NPI 1275365066
Clinic/Center - Primary Care in Sarasota, FL

Active since August 19, 2024
1528 S TUTTLE AVE, SARASOTA, FL 34239(941) 529-7770(941) 529-7775 Get Directions Write a Review

NPPES record last updated: August 19, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Live Well Dpc NPPES

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

LIVE WELL DPC (NPI 1275365066) is a healthcare organization registered as a primary care in Sarasota, Florida and active in the NPI registry since August 2024. The organization lists Julie Dooley, Manager, as its authorized official.

NPPES Registry Identity

NPI1275365066
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NameLIVE WELL DPC
Location Address1528 S TUTTLE AVESarasota, FL 34239-2607
Mailing Address1528 S Tuttle AveSarasota, FL 34239-2607 · (941) 529-7770 · Fax (941) 529-7775
Fax(941) 529-7775
Organization SubpartNo
Authorized OfficialJulie DooleyManager · (941) 529-7770
Enumeration DateAugust 19, 2024
NPPES CertifiedAugust 19, 2024
✔ NPI 1275365066 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
1528 S TUTTLE AVE, Sarasota, FL 34239

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Live Well Dpc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Live Well Dpc, which bills Medicare for the services they deliver. Of these, 2 practice at this address. They are listed nearest first.

Clinicians, nearest first (2)

Nurse Practitioner
NPI 1467152991
1528 S TUTTLE AVE
Sarasota, FL 34239
(941) 529-7770
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1992171755
1528 S TUTTLE AVE
Sarasota, FL 34239
(941) 529-7770
✔ 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.

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 10D2312054

Live Well Dpc, LLC · Sarasota, FL
Expired · Oct 2, 2026
CLIA Number10D2312054
Laboratory TypePractitioner Other
Certificate Effective DateOctober 3, 2024
Certificate Expiration DateOctober 2, 2026
Laboratory DirectorJulie A. Dooley
Laboratory Phone(941) 529-7770
Laboratory LocationLive Well Dpc, LLC1528 S Tuttle Ave, Sarasota, FL 34239
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Well Dpc's NPI number?

The NPI number for Live Well Dpc is 1275365066. It was assigned to this organization in the NPPES registry on August 19, 2024.

Where is Live Well Dpc located?

Live Well Dpc is located at 1528 S Tuttle Ave, Sarasota, FL 34239. The listed phone number is (941) 529-7770.

What is Live Well Dpc's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

Is Live Well Dpc enrolled in Medicare?

Yes. Live Well Dpc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Live Well Dpc?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Nurse Practitioner, reassign their Medicare billing to Live Well Dpc. 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. Of these, 2 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Live Well Dpc was last updated on August 19, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.