Individual provider Active NPI

Lexady Burke Longfield, PA-C

  • Physician Assistant
  • Provo, UT
National Provider Identifier
1326860693
Registry record updated Aug 27, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
12554501-1206 Issued in UT
Practice address
1055 N 300 W Ste 316
Provo, UT 84604-3373
Phone
(385) 476-7830
NPI assigned
Oct 29, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 27, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 12554501-1206 UT Primary

Addresses

Primary practice location

1055 N 300 W Ste 316
Provo, UT 84604-3373

Mailing address

1055 N 300 W Ste 316
Provo, UT 84604-3373
Phone (385) 476-7830

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in UT
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251230003616 UT Practitioner - Physician Assistant 6901392828 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Interventional Spine and Pain ManagementGroup PAC ID 6204065162, 13 clinicians

Practice addresses (Care Compare)

1055 N 300
Suite 316
Provo, UT 84604-3373
Phone (801) 262-7246

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
12554501-1206UTMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Interventional Spine & Pain Management CurrentSince Nov 1, 2025 Accepting new patients
Interventional Spine & Pain Management CurrentSince Nov 1, 2025 Accepting new patients

Locations

560 W 465 N
Ste 604
Providence, UT 84332
Phone (435) 753-1600

1055 N 300 W
Ste 316
Provo, UT 84604
Phone (801) 357-7530

5801 S Fashion Blvd
Ste 180
Salt Lake City, UT 84107
Phone (801) 706-2100

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/HDBECA

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1730160000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787788800000",
    "number": "1326860693",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1055 N 300 W STE 316",
            "city": "PROVO",
            "state": "UT",
            "postal_code": "846043373",
            "telephone_number": "385-476-7830"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1055 N 300 W STE 316",
            "city": "PROVO",
            "state": "UT",
            "postal_code": "846043373",
            "telephone_number": "385-476-7830"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LONGFIELD",
        "first_name": "LEXADY",
        "middle_name": "BURKE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-10-29",
        "last_updated": "2026-08-27",
        "certification_date": "2026-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "UT",
            "license": "12554501-1206",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Provo, UT

Sources for this page

Verify at the official NPI Registry.