Active NPI
Janice Payne
- Nurse Practitioner
- Clintwood, VA
National Provider Identifier
1043234149
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 0017001384
- Practice address
- 312 Hospital Drive
Clintwood, VA 24226-0312 - Phone
- (276) 926-0200
- NPI assigned
- Jul 26, 2006
- Last updated
- Jul 8, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 0017001384 | VA | Primary |
Addresses
Primary practice location
312 Hospital Drive
Clintwood, VA 24226-0312
Mailing address
PO Box 1440
Clintwood, VA 24228-1440
Phone (276) 926-0200
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| TN0105 | Other | JOHN DEERE HEALTH | |
| DC7419 | Other | VA | RAILROAD MEDICARE GROUP # |
| P00206182 | Other | VA | RAILROAD MEDICARE |
| 1218946 | Other | CHA HEALTH |
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
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0017001384 | VA | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wellmont Physician Services Inc | Nurse Practitioner | Past | Accepting new patients |
| Emcare Physician Providers Inc. | Past | Accepting new patients |
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.
-
- Emergency Medicine Physician
- Clintwood, VA
- NPI 1891706008
-
- Internal Medicine Physician
- Big Stone Gap, VA
- NPI 1619095403
Nurse Practitioner
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153872000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1043234149",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1440",
"city": "CLINTWOOD",
"state": "VA",
"postal_code": "242281440",
"telephone_number": "276-926-0200"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "312 HOSPITAL DRIVE",
"city": "CLINTWOOD",
"state": "VA",
"postal_code": "242260312",
"telephone_number": "276-926-0200"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PAYNE",
"first_name": "JANICE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-26",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "VA",
"license": "0017001384",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "JOHN DEERE HEALTH",
"identifier": "TN0105",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE GROUP #",
"identifier": "DC7419",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "P00206182",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CHA HEALTH",
"identifier": "1218946",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Clintwood, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.