Lieah Maxfield, ATC

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

BOC#2000012169 Issued in CA

Practice address

2824 W Avenue N8
Palmdale, CA 93551-2457

Phone

(619) 701-4256

NPI assigned

Jul 31, 2014

Last updated

Mar 11, 2021By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Mrs. Lieah Zavrid Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1406764800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615420800000",
    "number": "1841608098",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2824 W AVENUE N8",
            "city": "PALMDALE",
            "state": "CA",
            "postal_code": "935512457",
            "telephone_number": "619-701-4256"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2824 W AVENUE N8",
            "city": "PALMDALE",
            "state": "CA",
            "postal_code": "935512457",
            "telephone_number": "619-701-4256"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAXFIELD",
        "first_name": "LIEAH",
        "credential": "ATC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-07-31",
        "last_updated": "2021-03-11",
        "certification_date": "2021-02-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "CA",
            "license": "BOC#2000012169",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LIEAH",
            "last_name": "ZAVRID",
            "prefix": "MRS.",
            "credential": "ATC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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• Athletic Trainer in Palmdale, CA
• Providers in Palmdale, CA by specialty
• Athletic Trainer in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2021; 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.