Individual provider Active NPI

Jenniffer Marie Solivan Albino, MD

  • Pediatrics Physician
  • Mayfield, KY
National Provider Identifier
1104569565
Registry record updated Oct 1, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
C5258 Issued in KY
Practice address
1099 Medical Center Cir
Mayfield, KY 42066-1179
Phone
(270) 251-4100
NPI assigned
Apr 14, 2022
Last updated
Oct 1, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 1, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X MD225644 OR
Pediatrics Physician 208000000X C5258 KY Primary
Pediatrics Physician 208000000X 2025044050 MO

Addresses

Primary practice location

1099 Medical Center Cir
Mayfield, KY 42066-1179

Mailing address

1099 Medical Center Cir
Mayfield, KY 42066-1143

Other practice location 1

1235 E Cherokee St
Springfield, MO 65804-2203
Phone (417) 820-5400

Other practice location 2

501 N Graham St Ste 250
Portland, OR 97227-1651
Phone (503) 413-2902

Other practice location 3

1460 G St
Springfield, OR 97477-4112
Phone (541) 726-4400

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Care Compare profile

Medicare Care Compare
Specialty
Pediatric Medicine
Education
Other, 2021
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1919 NW Lovejoy St
Portland, OR 97209-1503

2850 NW 31St Ave
Portland, OR 97210-1720

7611 SW 153Rd CT
Miami, FL 33193-1791

PO Box
Brentwood, TN 37024

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
C5258KYMDPediatrics Physician
MD225644ORMDPediatrics Physician

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1649894400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1790812800000",
    "number": "1104569565",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1099 MEDICAL CENTER CIR",
            "city": "MAYFIELD",
            "state": "KY",
            "postal_code": "420661143"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1099 MEDICAL CENTER CIR",
            "city": "MAYFIELD",
            "state": "KY",
            "postal_code": "420661179",
            "telephone_number": "270-251-4100"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1235 E Cherokee St",
            "address_purpose": "LOCATION",
            "city": "Springfield",
            "state": "MO",
            "postal_code": "658042203",
            "country_code": "US",
            "telephone_number": "417-820-5400",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "501 N Graham St Ste 250",
            "address_purpose": "LOCATION",
            "city": "Portland",
            "state": "OR",
            "postal_code": "972271651",
            "country_code": "US",
            "telephone_number": "503-413-2902",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1460 G St",
            "address_purpose": "LOCATION",
            "city": "Springfield",
            "state": "OR",
            "postal_code": "974774112",
            "country_code": "US",
            "telephone_number": "541-726-4400",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SOLIVAN ALBINO",
        "first_name": "JENNIFFER",
        "middle_name": "MARIE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-04-14",
        "last_updated": "2026-10-01",
        "certification_date": "2026-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "OR",
            "license": "MD225644",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "KY",
            "license": "C5258",
            "primary": true
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "MO",
            "license": "2025044050",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mayfield, KY

Sources for this page

Verify at the official NPI Registry.