Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1508571803 Individual Practitioner Female Practitioner

Tracey Livermore , LPN

Licensed Practical Nurse • Monroe, MI

Professional Overview & Biography Verified Profile Summary

Tracey Livermore, LPN is a registered healthcare professional specializing in Licensed Practical Nurse in Monroe, MI. Practice services are available at 3250 N MONROE ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

3250 N Monroe St

Monroe, MI 481629297

Telephone 7345477009
Associated Practice Facility / Clinic
🏢 Salvation Army Harbor Light Facility NPI 1861747578

Specialty Benchmarks & Practice Insights

Comparative analytics for Licensed Practical Nurse in Monroe, MI

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.0 Yrs
Regional Practice Density
57 Specialists

Practicing in Monroe, MI (4550 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2023-01-20
Licensed Practical Nurse Primary Specialty

NUCC Taxonomy Code: 164W00000X

State License MI 4703107899

An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID None
NONE

Secondary Practice Locations

4673 Washtenaw Ave

Ann Arbor, MI 481081301

Phone: 7345475009

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

28 Associated Practitioners
Bryanna Johnston

Social Worker

NPI 1043075476
Krystal West , LPN

Licensed Practical Nurse

NPI 1053112565

Licensed Practical Nurse

Sarah Slovik , MS

Counselor - Addiction (Substance Use Disorder)

NPI 1194069898

Master of Science

Michelle Lamontaine , LPN

Licensed Practical Nurse

NPI 1235639071

Licensed Practical Nurse

Dr. Geoffrey Mcintyre , PhD

Counselor - Addiction (Substance Use Disorder)

NPI 1336623461

Doctor of Philosophy (Ph.D.)

Jammie Evans , LPN

Licensed Practical Nurse

NPI 1366012452

Licensed Practical Nurse

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active January 20, 2023

NPI status registered as active in NPPES database

📍
Updated Practice Location January 20, 2023

Registered at 3250 N MONROE ST, MONROE, MI 481629297 (Tel: 7345477009)

📍
Updated Business Mailing Address January 20, 2023

Registered at 3250 N MONROE ST, MONROE, MI 481629297 (Tel: 7345475009)

👤
Provider Name / Credentials Updated January 20, 2023

Recorded as TRACEY LIVERMORE, LPN

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 20, 2023

Licensed Practical Nurse (License #4703107899 in MI)

🟢
Initial NPI Registration & Enumeration January 20, 2023

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1508571803
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 20, 2023
Last Update: January 20, 2023
Sole Proprietor: No

Mailing Address

3250 N Monroe St

Monroe, MI 481629297

Phone: 7345475009

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.