Anna Kristin Payne, RDN

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

1094814 Issued in VA

Practice address

943 Short St
Canon City, CO 81212-4256

Phone

(719) 426-1899

NPI assigned

Jan 21, 2015

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1421798400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1612569600000",
    "number": "1003205527",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "427 GREENWOOD AVE",
            "city": "CANON CITY",
            "state": "CO",
            "postal_code": "812123245",
            "telephone_number": "540-797-4128"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "943 SHORT ST",
            "city": "CANON CITY",
            "state": "CO",
            "postal_code": "812124256",
            "telephone_number": "719-426-1899"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1338 Phay Ave",
            "address_purpose": "LOCATION",
            "city": "Canon City",
            "state": "CO",
            "postal_code": "812122302",
            "country_code": "US",
            "telephone_number": "719-285-2548",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PAYNE",
        "first_name": "ANNA",
        "middle_name": "KRISTIN",
        "credential": "RDN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-01-21",
        "last_updated": "2021-02-06",
        "certification_date": "2021-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "VA",
            "license": "1094814",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Debra Paschall, PT
• Paul Wayne Paschall, P.T.
• Christine Renee Patterson, MSW
• Jacob F Patterson
• Marion M Patterson, RN
• Peak Vision Canon City Prof, LLC
• Basil Eugene Pearson, D.C.
• Lisa G Pearson, DNAP, CRNA, NSPMC
• Pediatric Associates of Canon City, Prof. LLC
• Raymond J Pelland, PA-C

• Registered Dietitian in Canon City, CO
• Providers in Canon City, CO by specialty
• Registered Dietitian in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.