Individual provider Active NPI

Aileen J. Field, M.D.

  • Pediatrics Physician
  • Lake Mary, FL
National Provider Identifier
1194716175
Registry record updated May 21, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
ME87999 Issued in FL
Practice address
725 Rodel CV
Lake Mary, FL 32746-4859
Phone
(407) 302-3130
Fax
(407) 302-3132
NPI assigned
Oct 31, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 21, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X ME87999 FL Primary

Addresses

Primary practice location

725 Rodel CV
Lake Mary, FL 32746-4859

Mailing address

725 Rodel CV
Lake Mary, FL 32746-4859
Phone (407) 302-3130

Other identifiers 1

IdentifierTypeStateIssuer
281012300MedicaidFL

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)
Not enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
ME87999FLMDPediatrics Physician

NPI Registry JSON

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

{
    "created_epoch": "1130716800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1590019200000",
    "number": "1194716175",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "725 RODEL CV",
            "city": "LAKE MARY",
            "state": "FL",
            "postal_code": "327464859",
            "telephone_number": "407-302-3130",
            "fax_number": "407-302-3132"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "725 RODEL CV",
            "city": "LAKE MARY",
            "state": "FL",
            "postal_code": "327464859",
            "telephone_number": "407-302-3130",
            "fax_number": "407-302-3132"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FIELD",
        "first_name": "AILEEN",
        "middle_name": "J.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-10-31",
        "last_updated": "2020-05-21",
        "certification_date": "2020-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "FL",
            "license": "ME87999",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "281012300",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Mary, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.