NPIMap

Organization Active NPI

States Family Practice LLC

  • Family Medicine Physician
  • North Platte, NE
National Provider Identifier
1316135221
Registry record updated Jul 28, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
19182 Issued in NE
Legal business name
STATES FAMILY PRACTICE LLC
Practice address
209 McNeel LN
North Platte, NE 69101-6054
Phone
(308) 534-8383
Fax
(308) 534-5670
NPI assigned
Oct 5, 2007
Last updated
Jul 28, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 28, 2009

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

Authorized official

Name
Kristen Renae Corfield
Title
Assistant Office Manager
Phone
(308) 534-8383

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 19182 NE Primary

Addresses

Primary practice location

209 McNeel LN
North Platte, NE 69101-6054

Mailing address

209 McNeel LN
North Platte, NE 69101-6054
Phone (308) 534-8383

National Provider Directory

National Provider Directory

Locations

209 McNeel Ln
North Platte, NE 69101
Phone (308) 534-6422

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1191542400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1248739200000",
    "number": "1316135221",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "209 MCNEEL LN",
            "city": "NORTH PLATTE",
            "state": "NE",
            "postal_code": "691016054",
            "telephone_number": "308-534-8383",
            "fax_number": "308-534-5670"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "209 MCNEEL LN",
            "city": "NORTH PLATTE",
            "state": "NE",
            "postal_code": "691016054",
            "telephone_number": "308-534-8383",
            "fax_number": "308-534-5670"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STATES FAMILY PRACTICE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-05",
        "last_updated": "2009-07-28",
        "status": "A",
        "authorized_official_last_name": "CORFIELD",
        "authorized_official_first_name": "KRISTEN",
        "authorized_official_middle_name": "RENAE",
        "authorized_official_title_or_position": "ASSISTANT OFFICE MANAGER",
        "authorized_official_telephone_number": "308-534-8383"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NE",
            "license": "19182",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Platte, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2009; 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.