Individual provider Active NPI

Lavenia J Seyfried, ANP

  • Adult Health Nurse Practitioner
  • Moody AFB, GA
National Provider Identifier
1952695553
Registry record updated Jul 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
RN134946 Issued in GA
Practice address
23 Rd Medical Group SGHC
3278 Mitchell Blvd. Moody AFB, Ga. 31699-1500
Moody AFB, GA 31699-1500
Phone
(229) 257-1918
Fax
(229) 257-4381
NPI assigned
Jun 1, 2011
Last updated
Jul 30, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 30, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X RN134946 GA Primary
Registered Nurse 163W00000X RN134946 GA

Addresses

Primary practice location

23 Rd Medical Group SGHC
3278 Mitchell Blvd. Moody AFB, Ga. 31699-1500
Moody AFB, GA 31699-1500

Mailing address

23 Rd Medical Group SGHC
3278 Mitchell Blvd. Moody AFB, Ga. 31699-1500
Moody AFB, GA 31699-1500
Phone (229) 257-3681

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL Lavenia.j.seyfried.ctr@mail.mil Direct

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

State licenses

LicenseStateTypeSpecialty
RN134946GAMDRegistered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1306886400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753833600000",
    "number": "1952695553",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23 RD MEDICAL GROUP SGHC",
            "address_2": "3278 MITCHELL BLVD. MOODY AFB, GA. 31699-1500",
            "city": "MOODY AFB",
            "state": "GA",
            "postal_code": "316991500",
            "telephone_number": "229-257-3681",
            "fax_number": "229-257-4381"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23 RD MEDICAL GROUP SGHC",
            "address_2": "3278 MITCHELL BLVD. MOODY AFB, GA. 31699-1500",
            "city": "MOODY AFB",
            "state": "GA",
            "postal_code": "316991500",
            "telephone_number": "229-257-1918",
            "fax_number": "229-257-4381"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEYFRIED",
        "first_name": "LAVENIA",
        "middle_name": "J",
        "credential": "ANP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-06-01",
        "last_updated": "2025-07-30",
        "certification_date": "2025-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "GA",
            "license": "RN134946",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "GA",
            "license": "RN134946",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Lavenia.j.seyfried.ctr@mail.mil",
            "affiliation": "N",
            "endpointDescription": "Bus email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Moody AFB",
            "address_1": "23 Rd Medical Group Sghc",
            "address_2": "3278 Mitchell Blvd. Moody AFB, GA. 31699-1500",
            "city": "Moody AFB",
            "state": "GA",
            "country_code": "US",
            "postal_code": "316991500",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Moody AFB, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2025; 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.