MARY LIVESAY
NPI 1386442093
Nurse Practitioner - Family in Ullin, IL

Q: What is Mary Livesay's NPI number?

The NPI number for Mary Livesay is 1386442093. It was assigned to this individual provider in the NPPES registry on March 6, 2025.

Q: What is Mary Livesay's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: When was this NPI record last updated?

The NPPES record for Mary Livesay was last updated on March 6, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 months 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.

Active since March 06, 2025

37 RUSTIC CAMPUS DR, ULLIN, IL 62992(618) 634-2297 Get Directions Write a Review

NPPES record last updated: March 6, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Mary Livesay NPPES

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

MARY LIVESAY (NPI 1386442093) is an individual family provider in Ullin, Illinois, licensed in Illinois (209031855) and active in the NPI registry since March 2025.

NPPES Registry Identity

NPI1386442093

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameMARY LIVESAY

Location Address37 RUSTIC CAMPUS DRUllin, IL 62992-2226

Mailing Address37 Rustic Campus DrUllin, IL 62992-2226 · (618) 634-2297

Phone(618) 634-2297

Sole ProprietorNo

Enumeration DateMarch 6, 2025

NPPES CertifiedMarch 6, 2025

✔ NPI 1386442093 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in IL · 209031855

37 RUSTIC CAMPUS DR, Ullin, IL 62992

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Other Providers at the Same Location NPPES

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

SOUTHERN SEVEN HEALTH DEPT

Clinic/Center (Health Service)

37 RUSTIC CAMPUS DR
ULLIN, IL 62992

Pulaski County (618) 634-2297

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 Mary Livesay's NPI number?

The NPI number for Mary Livesay is 1386442093. It was assigned to this individual provider in the NPPES registry on March 6, 2025.

Where is Mary Livesay located?

Mary Livesay practices at 37 Rustic Campus Dr, Ullin, IL 62992. The listed phone number is (618) 634-2297.

What is Mary Livesay's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Mary Livesay was last updated on March 6, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 months 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.