Active NPI
Deniece Maragrita' Payne, MS-SLP, MED
- Speech-Language Pathologist
- Fredericksburg, VA
National Provider Identifier
1003052523
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- Practice address
- 10105 S Fulton Dr
Fredericksburg, VA 22408-0260 - Phone
- (571) 330-8120
- Fax
- (877) 771-3419
- NPI assigned
- Jan 6, 2009
- Last updated
- May 19, 2019
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech/Language/Hearing Specialist/Technologist | 235500000X | VA | ||
| Speech-Language Pathologist | 235Z00000X | VA | Primary |
Addresses
Primary practice location
10105 S Fulton Dr
Fredericksburg, VA 22408-0260
Mailing address
10105 S Fulton Dr
Fredericksburg, VA 22408-0260
Phone (571) 330-8120
Other practice location 1
10851 Tidewater Trl
#103
Fredericksburg, VA 22408-2048
Phone (571) 330-8120
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073788931 | Medicaid | VA |
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)
- Enrolled
- Credentials
- Master of Education
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Specialist
- Fredericksburg, VA
- NPI 1730494329
-
- Developmentally Disabled Services Day Training Agency
- Fredericksburg, VA
- NPI 1073788931
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1231200000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1558224000000",
"number": "1003052523",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10105 S FULTON DR",
"city": "FREDERICKSBURG",
"state": "VA",
"postal_code": "224080260",
"telephone_number": "571-330-8120",
"fax_number": "877-771-3419"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10105 S FULTON DR",
"city": "FREDERICKSBURG",
"state": "VA",
"postal_code": "224080260",
"telephone_number": "571-330-8120",
"fax_number": "877-771-3419"
}
],
"practiceLocations": [
{
"address_1": "10851 Tidewater Trl",
"address_2": "#103",
"address_purpose": "LOCATION",
"city": "Fredericksburg",
"state": "VA",
"postal_code": "224082048",
"country_code": "US",
"telephone_number": "571-330-8120",
"fax_number": "877-771-3419",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PAYNE",
"first_name": "DENIECE",
"middle_name": "MARAGRITA'",
"name_prefix": "Ms.",
"credential": "MS-SLP, MED",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-01-06",
"last_updated": "2019-05-19",
"status": "A"
},
"taxonomies": [
{
"code": "235500000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Specialist/Technologist",
"state": "VA",
"license": null,
"primary": false
},
{
"code": "235Z00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Speech-Language Pathologist",
"state": "VA",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1073788931",
"state": "VA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Fredericksburg, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.