MRS. ELIZABETH DIANE PAYNE APRN NPI 1700831138

NPI Information

NPI: 1700831138
Provider Name: MRS. ELIZABETH DIANE PAYNE, APRN
Classification: Nurse Practitioner - 363LA2200X
Entity Type: Individual

Specialization: Adult Health

PECOS Registration: Yes

Address:
10821 PLANTSIDE DRIVE
SUITE 104
LOUISVILLE, KY
ZIP 40299
Phone: (502) 412-2995
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MRS. Elizabeth Diane Payne, APRN is an adult health nurse practitioner in Louisville, KY. MRS. Elizabeth Diane Payne, APRN NPI is 1700831138. 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:

10821 PLANTSIDE DRIVE
SUITE 104
LOUISVILLE, KY
ZIP 40299
Phone: (502) 412-2995
Fax: (502) 412-8025

The NPI 1700831138 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 5/24/2006 and was last updated on 5/18/2011.

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	363LA2200X	Nurse Practitioner	Adult Health	3002826	KENTUCKY	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	0568902	MEDICARE ID-TYPE UNSPECIFIED	KENTUCKY	MEDICARE PROVIDER NUMBER
2	7765491	OTHER	KENTUCKY	AETNA PIN
3	2444184000	OTHER	KENTUCKY	PASSPORT ADVANTAGE
4	P100033758	MEDICARE PIN	KENTUCKY
5	78028263	MEDICAID	KENTUCKY
6	S70531	MEDICARE UPIN	KENTUCKY
7	000000240200	OTHER	KENTUCKY	ANTHEM PROV NUMBER
8	201016000	MEDICAID	INDIANA
9	500028827	OTHER	KENTUCKY	PASSPORT PROV NUMBER
10	P400035642	MEDICARE PIN	KENTUCKY

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: 4/28/2024

NPI Synchronization or Removal

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