Active NPI
Ondemand Mobile Med LLC
- Family Nurse Practitioner
- Spokane Valley, WA
National Provider Identifier
1427775196
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- Legal business name
- ONDEMAND MOBILE MED LLC
- Practice address
- 12623 E Broadway Ave
Spokane Valley, WA 99216 - Phone
- (352) 989-2455
- NPI assigned
- Oct 24, 2022
- Last updated
- Oct 24, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Bradley Hilliard-Lythgoe, ARNP
- Title
- Owner
- Phone
- (352) 989-2455
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | Primary |
Addresses
Primary practice location
12623 E Broadway Ave
Spokane Valley, WA 99216
Mailing address
506 N Sullivan Rd Ste F PMB 217
Spokane Valley, WA 99037-8543
Phone (352) 989-2455
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
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": "1666569600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1666569600000",
"number": "1427775196",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "506 N SULLIVAN RD STE F PMB 217",
"city": "SPOKANE VALLEY",
"state": "WA",
"postal_code": "990378543",
"telephone_number": "352-989-2455"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12623 E BROADWAY AVE",
"city": "SPOKANE VALLEY",
"state": "WA",
"postal_code": "99216",
"telephone_number": "352-989-2455"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ONDEMAND MOBILE MED LLC",
"organizational_subpart": "NO",
"enumeration_date": "2022-10-24",
"last_updated": "2022-10-24",
"certification_date": "2022-10-18",
"status": "A",
"authorized_official_last_name": "HILLIARD-LYTHGOE",
"authorized_official_first_name": "BRADLEY",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "352-989-2455",
"authorized_official_credential": "ARNP"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner, Family",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Spokane Valley, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 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.