Individual provider Active NPI

Lizbet Madrigal-Mendoza

  • General Practice Physician
  • Walla Walla, WA
National Provider Identifier
1871418327
Registry record updated Aug 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
MAC.CM.61032812 Issued in WA
Practice address
2222 Isaacs Ave Apt H303
Walla Walla, WA 99362-2281
Phone
(541) 561-4167
NPI assigned
Aug 12, 2026
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 12, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208D00000X MAC.CM.61032812 WA Primary

Addresses

Primary practice location

2222 Isaacs Ave Apt H303
Walla Walla, WA 99362-2281

Mailing address

2222 Isaacs Ave Apt H303
Walla Walla, WA 99362-2281

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

NPI Registry JSON

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

{
    "created_epoch": "1786492800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1786492800000",
    "number": "1871418327",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2222 ISAACS AVE APT H303",
            "city": "WALLA WALLA",
            "state": "WA",
            "postal_code": "993622281"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2222 ISAACS AVE APT H303",
            "city": "WALLA WALLA",
            "state": "WA",
            "postal_code": "993622281",
            "telephone_number": "541-561-4167"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MADRIGAL-MENDOZA",
        "first_name": "LIZBET",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2026-08-12",
        "last_updated": "2026-08-12",
        "certification_date": "2026-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": "WA",
            "license": "MAC.CM.61032812",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Walla Walla, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2026; 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.