Organization Active NPI

Mayfield Family Medicine PLLC

  • Family Medicine Physician
  • Spokane, WA
National Provider Identifier
1710234190
Registry record updated Nov 28, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
16849 Issued in WA
Legal business name
MAYFIELD FAMILY MEDICINE PLLC
Practice address
5901 N Lidgerwood St Ste 127
Spokane, WA 99208-1122
Phone
(509) 413-2105
Fax
(509) 413-2107
NPI assigned
Aug 6, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 28, 2018

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

Authorized official

Name
Jennifer Alice Mayfield, MD, MPH
Title
Member, Manager
Phone
(509) 413-2105

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X 16849 WA Primary

Addresses

Primary practice location

5901 N Lidgerwood St Ste 127
Spokane, WA 99208-1122

Mailing address

5901 N Lidgerwood St Ste 127
Spokane, WA 99208-1122
Phone (509) 413-2105

National Provider Directory

National Provider Directory

Locations

5901 N Lidgerwood St
Ste 127
Spokane, WA 99208
Phone (509) 413-2105

NPI Registry JSON

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

{
    "created_epoch": "1344211200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1543363200000",
    "number": "1710234190",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5901 N LIDGERWOOD ST STE 127",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992081122",
            "telephone_number": "509-413-2105",
            "fax_number": "509-413-2107"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5901 N LIDGERWOOD ST STE 127",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992081122",
            "telephone_number": "509-413-2105",
            "fax_number": "509-413-2107"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAYFIELD FAMILY MEDICINE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-08-06",
        "last_updated": "2018-11-28",
        "status": "A",
        "authorized_official_last_name": "MAYFIELD",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "ALICE",
        "authorized_official_title_or_position": "MEMBER, MANAGER",
        "authorized_official_telephone_number": "509-413-2105",
        "authorized_official_credential": "MD, MPH"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "WA",
            "license": "16849",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Spokane, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 2018; 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.