Active NPI
Stephen E Lloyd-Davies, MD
- Family Medicine Physician
- Liberty Lake, WA
National Provider Identifier
1093772568
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 00031606
- Practice address
- 1431 N Liberty Lake Rd Ste B
First Care
Liberty Lake, WA 99019-8522 - Phone
- (509) 838-2531
- NPI assigned
- Apr 28, 2006
- Last updated
- Dec 2, 2011
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 00031606 | WA | Primary |
Addresses
Primary practice location
1431 N Liberty Lake Rd Ste B
First Care
Liberty Lake, WA 99019-8522
Mailing address
PO Box 3649
Spokane, WA 99220-3649
Phone (509) 838-2531
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8187676 | Medicaid | WA | |
| 0250703 | Other | WA | DEPT OF LABOR & INDUSTRIES |
| 019401 | Other | WA | FAA |
| 46646 | Other | WA | L&I |
| 0250706 | Other | WA | DEPT LABOR & INDUSTRIES |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 00031606 | WA | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Carrington Health Center | Family Medicine | Past | Accepting new patients |
| Carrington Health Center | Family Medicine | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba CHI St. Alexius Health Carrington Medical Clinic & Urgent Care
- Rural Health Clinic/Center
- Carrington, ND
- NPI 1558389338
Family Medicine
-
dba CHI St. Alexius Health Carrington Family Clinic
- Rural Health Clinic/Center
- New Rockford, ND
- NPI 1801811666
Family Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1146182400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1322784000000",
"number": "1093772568",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 3649",
"city": "SPOKANE",
"state": "WA",
"postal_code": "992203649",
"telephone_number": "509-838-2531"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1431 N LIBERTY LAKE RD STE B",
"address_2": "FIRST CARE",
"city": "LIBERTY LAKE",
"state": "WA",
"postal_code": "990198522",
"telephone_number": "509-838-2531"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LLOYD-DAVIES",
"first_name": "STEPHEN",
"middle_name": "E",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-04-28",
"last_updated": "2011-12-02",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "WA",
"license": "00031606",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8187676",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DEPT OF LABOR & INDUSTRIES",
"identifier": "0250703",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FAA",
"identifier": "019401",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "L&I",
"identifier": "46646",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DEPT LABOR & INDUSTRIES",
"identifier": "0250706",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Liberty Lake, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.