Individual provider Active NPI

David Mayfield

  • Ambulatory Care Registered Nurse
  • North Bend, OR
National Provider Identifier
1376281816
Registry record updated May 24, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Care Registered NurseTaxonomy code 163WP2201X
License
653459 Issued in TX
Practice address
2191 Marion St
North Bend, OR 97459-2314
Phone
(541) 756-8002
NPI assigned
May 24, 2022
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 24, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Care Registered Nurse 163WP2201X 653459 TX Primary

Addresses

Primary practice location

2191 Marion St
North Bend, OR 97459-2314

Mailing address

2191 Marion St
North Bend, OR 97459-2314
Phone (541) 756-8002

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address DAVID.MAYFIELD@VA.GOV

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

State licenses

LicenseStateTypeSpecialty
653459TXMDAmbulatory Care Registered Nurse

Interoperability endpoints

  • Direct secure messaging: david.mayfield@va.gov

NPI Registry JSON

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

{
    "created_epoch": "1653350400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1653350400000",
    "number": "1376281816",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2191 MARION ST",
            "city": "NORTH BEND",
            "state": "OR",
            "postal_code": "974592314",
            "telephone_number": "541-756-8002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2191 MARION ST",
            "city": "NORTH BEND",
            "state": "OR",
            "postal_code": "974592314",
            "telephone_number": "541-756-8002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAYFIELD",
        "first_name": "DAVID",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-05-24",
        "last_updated": "2022-05-24",
        "certification_date": "2022-05-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WP2201X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Ambulatory Care",
            "state": "TX",
            "license": "653459",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "DAVID.MAYFIELD@VA.GOV",
            "affiliation": "N",
            "address_1": "2191 Marion St",
            "city": "North Bend",
            "state": "OR",
            "country_code": "US",
            "postal_code": "974592314",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in North Bend, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2022; 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.