Healthy Living Premier Medical PLLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

HEALTHY LIVING PREMIER MEDICAL PLLC

Practice address

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

Phone

(509) 928-6700

NPI assigned

Jul 1, 2024

Organization subpart

No

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

Authorized official

Name

Susan L Ashley, MDNPI 1821188640

Title

Ceo

Phone

(509) 924-6199

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in WA

Enrollment records 1

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Susan L. Ashley, MD

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

  • Family Nurse Practitioner
  • Spokane Valley, WA
  • NPI 1508610445
  NPD (past)
• Erin McKeever Jerde

  • Family Nurse Practitioner
  • Liberty Lake, WA
  • NPI 1750065462
  NPD (past)
• Samantha Sharon Anne McFarland, ARNP

  • Family Nurse Practitioner
  • Spokane Valley, WA
  • NPI 1548831217
  NPD (past)

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

{
    "created_epoch": "1719792000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1719792000000",
    "number": "1952147886",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "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"
        },
        {
            "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": [],
    "basic": {
        "organization_name": "HEALTHY LIVING PREMIER MEDICAL PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-07-01",
        "last_updated": "2024-07-01",
        "certification_date": "2024-07-01",
        "status": "A",
        "authorized_official_last_name": "ASHLEY",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "509-924-6199",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer R Havens, DMD
• Rebecca Nicole Hayes, PT
• Kristen Elizabeth Heacox, OTR/L, CLWT
• Healthful Sleep Solutions LLC
• Healthy Living Liberty Lake
• Brady R Heaps, DC
• Kylie Helgeland
• Kelly Ann Hickey, L.M.T.
• Miranda Hill, ND
• Bruce Larkin Hotchkiss, PHARM.D.

• 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 Jul 1, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.