FAMILY MEDICINE LIBERTY LAKE P C
NPI 1790013175
Family Medicine in Liberty Lake, WA
About Family Medicine Liberty Lake P C NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
FAMILY MEDICINE LIBERTY LAKE P C (NPI 1790013175) is a healthcare organization registered as a family medicine in Liberty Lake, Washington and active in the NPI registry since November 2009. The organization holds a CLIA Microscopy certificate valid through April 4, 2028, maintains a secondary practice location in Post Falls, and lists Susan Lynn Ashley, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Group Practice 1
Accepted Insurance
CLIA Laboratory Certificates CMS CLIA
Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.
Certificate for Provider-Performed Microscopy Procedures (PPMP) 50D2001522
Family Medicine Liberty Lake PC · Liberty Lake, WAOther Providers at the Same Location NPPES
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
LIBERTY LAKE, WA 99019
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Family Medicine Liberty Lake P C's NPI number?
The NPI number for Family Medicine Liberty Lake P C is 1790013175. It was assigned to this organization in the NPPES registry on November 24, 2009.
Where is Family Medicine Liberty Lake P C located?
Family Medicine Liberty Lake P C is located at 1431 N Liberty Lake Rd Ste A, Liberty Lake, WA 99019. The listed phone number is (509) 928-6700.
What is Family Medicine Liberty Lake P C's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Does Family Medicine Liberty Lake P C hold a CLIA laboratory certificate?
Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 50D2001522) is associated with this NPI, valid through April 4, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
What insurance does Family Medicine Liberty Lake P C accept?
Health plans from Premera Blue Cross Blue Shield of Alaska list Family Medicine Liberty Lake P C as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Family Medicine Liberty Lake P C was last updated on August 10, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Family Medicine Liberty Lake P C · NPI 1790013175
Family Medicine organization in Liberty Lake, Washington. Organization record, active in the CMS NPPES registry since November 24, 2009.
## Identity
- **NPI:** 1790013175 (Entity type: Organization)
- **Enumerated:** November 24, 2009
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **Organization subpart:** No
- **Authorized official:** Susan Ashley, OWNER
## Practice location
- **Address:** 1431 N LIBERTY LAKE RD STE A, Liberty Lake, WA 99019-8522
- **Phone:** (509) 928-6700
## Record status
- **NPPES last updated:** August 10, 2026
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1790013175) · Data from the CMS NPPES public registry.