Living Waters Family Practice
NPI 1457644155 · Family Nurse Practitioner · Grants Pass, OR
Living Waters Family Practice is a Family Nurse Practitioner organization in Grants Pass, OR (NPI 1457644155).
Provider details
- NPI number
- 1457644155
- Entity type
- Organization
- Primary specialty
- Family Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Organization subpart
- No
- Authorized official
- Cynthia Mahoney, Owner(541) 474-9400
- License
- 200250078NP (OR)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
15 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2011-05-27
- Last updated
- 2011-05-27
Frequently asked questions
- What is Living Waters Family Practice's NPI number?
- Living Waters Family Practice's National Provider Identifier (NPI) is 1457644155, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Living Waters Family Practice?
- Living Waters Family Practice is classified in the NPPES registry as Family Nurse Practitioner (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Living Waters Family Practice located?
- Living Waters Family Practice's practice location on file with NPPES is 181 Nw Bunnell Ave, Grants Pass, OR 97526-6012.
- What is Living Waters Family Practice's phone number?
- The practice phone number listed in the NPPES registry for Living Waters Family Practice is (541) 474-9400.
- Who is the authorized official for Living Waters Family Practice?
- The authorized official listed on Living Waters Family Practice's NPPES record is Cynthia Mahoney, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Living Waters Family Practice's NPI active?
- Yes — Living Waters Family Practice's NPI (1457644155) is active in the NPPES registry as of the last update on 2011-05-27.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.