Active NPI
Jenniffer Marie Solivan Albino, MD
- Pediatrics Physician
- Mayfield, KY
National Provider Identifier
1104569565
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- C5258
- Practice address
- 1099 Medical Center Cir
Mayfield, KY 42066-1179 - Phone
- (270) 251-4100
- NPI assigned
- Apr 14, 2022
- Last updated
- Oct 1, 2026
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
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
| License | State | Type | Specialty |
|---|---|---|---|
| C5258 | KY | MD | Pediatrics Physician |
| MD225644 | OR | MD | Pediatrics 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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.