LAUREN KUKLA PAYNE NP NPI 1649785122

NPI Information

NPI: 1649785122
Provider Name: LAUREN KUKLA PAYNE, NP
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

PECOS Registration: Yes

Address:
6331 PROSPECT AVE
DALLAS, TX
ZIP 75214
Phone: (214) 821-6331
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Lauren Kukla Payne, NP is a family nurse practitioner in Dallas, TX. Lauren Kukla Payne, NP NPI is 1649785122. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

6331 PROSPECT AVE
DALLAS, TX
ZIP 75214-938
Phone: (214) 821-6331

The NPI 1649785122 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 12/6/2017 and was last updated on 2/25/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363L00000X	Nurse Practitioner		AP134035	TEXAS	No
2	363LF0000X	Nurse Practitioner	Family	AP134035	TEXAS	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	MP4410510	OTHER	DISTRICT OF COLUMBIA	DEA
2	AP134035	OTHER	TEXAS	TEXAS BOARD OF NURSING

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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