Family Medicine Liberty Lake P C

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

MD00028821 Issued in WA

Legal business name

FAMILY MEDICINE LIBERTY LAKE P C

Practice address

1431 N Liberty Lake Rd Ste a
Liberty Lake, WA 99019-8522

Phone

(509) 928-6700

NPI assigned

Nov 24, 2009

Last updated

Aug 10, 2026By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Susan Lynn Ashley, MDNPI 1821188640

Title

Owner

Phone

(509) 720-4050

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in WA

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 8

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.

• Susan L. Ashley, MD

  • Family Medicine Physician
  • Liberty Lake, WA
  • NPI 1821188640
  Medicare reassignment Care Compare group Authorized official
• Corinne Alyssa Austin, FNP

  • Family Nurse Practitioner
  • Spokane Valley, WA
  • NPI 1508610445
  Medicare reassignment Care Compare group NPD
• Samantha Sharon Anne McFarland, ARNP

  • Family Nurse Practitioner
  • Spokane Valley, WA
  • NPI 1548831217
  Medicare reassignment Care Compare group NPD
• Christina May Hatley, ARNP, CNM

  • Family Nurse Practitioner
  • Post Falls, ID
  • NPI 1376178400

  Multi-Specialty, WA

  Medicare reassignment Care Compare group NPD
• Neil E Golan, MD

  • Family Medicine Physician
  • Auburn, WA
  • NPI 1407969314
  Medicare reassignment NPD
• Erin McKeever Jerde

  • Family Nurse Practitioner
  • Liberty Lake, WA
  • NPI 1750065462
  Medicare reassignment NPD
• Marnie Michelle Smith, ARNP

  • Family Nurse Practitioner
  • Spokane, WA
  • NPI 1891207197
  Medicare reassignment NPD
• Tana Lynn Vesser, FNP

  • Family Nurse Practitioner
  • Coeur d'Alene, ID
  • NPI 1730551516

  WA

  Medicare reassignment NPD

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

{
    "created_epoch": "1259020800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1786320000000",
    "number": "1790013175",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1581 E EDMONDTON AVE",
            "city": "POST FALLS",
            "state": "ID",
            "postal_code": "838546188",
            "telephone_number": "208-773-2110",
            "fax_number": "208-773-4511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1431 N LIBERTY LAKE RD STE A",
            "city": "LIBERTY LAKE",
            "state": "WA",
            "postal_code": "990198522",
            "telephone_number": "509-928-6700"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1581 E Edmondton Ave",
            "address_purpose": "LOCATION",
            "city": "Post Falls",
            "state": "ID",
            "postal_code": "838546188",
            "country_code": "US",
            "telephone_number": "208-773-2110",
            "fax_number": "208-773-4511",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "FAMILY MEDICINE LIBERTY LAKE P C",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-11-24",
        "last_updated": "2026-08-10",
        "certification_date": "2026-08-10",
        "status": "A",
        "authorized_official_last_name": "ASHLEY",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "509-720-4050",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WA",
            "license": "MD00028821",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Rachel A Ferrari, ARNP
• Andrew Field, PT
• Laura J Fischer, OD
• Fit for Your Life Physical Therapy and Wellness LLC
• Ariel Leilani Fonseca, LMT

• Family Medicine Physician in Liberty Lake, WA
• Providers in Liberty Lake, WA by specialty
• Family Medicine Physician in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.