Active NPI
Susan Rivers-Payne, MSN
- Nurse Practitioner
- Walnut Hills, OH
National Provider Identifier
1083648109
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- RN084379NP05398
- Practice address
- 1501 Madison Rd FL 3
Walnut Hills, OH 45206-1780 - Phone
- (513) 354-5238
- Fax
- (513) 354-5237
- NPI assigned
- Jul 11, 2006
- 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 | RN084379NP05398 | OH | Primary |
Addresses
Primary practice location
1501 Madison Rd FL 3
Walnut Hills, OH 45206-1780
Mailing address
519 Howell Ave
Cincinnati, OH 45220-1905
Phone (513) 861-3001
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2153771 | Medicaid | OH | |
| 7801148 | Other | KY | MEDICAID |
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 Science - Nursing, Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN084379NP05398 | OH | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Trihealth Physician Institute | Nurse Practitioner | Past | Accepting new patients |
| University of Cincinnati Physicians Company, LLC | Nurse Practitioner | 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 and National Provider Directory roles.
-
- Internal Medicine Physician
- Cincinnati, OH
- NPI 1912001603
Nurse Practitioner
-
- Family Medicine Physician
- Cincinnati, OH
- NPI 1801840434
Nurse Practitioner
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152576000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1282089600000",
"number": "1083648109",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "519 HOWELL AVE",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "452201905",
"telephone_number": "513-861-3001",
"fax_number": "513-559-2020"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1501 MADISON RD FL 3",
"city": "WALNUT HILLS",
"state": "OH",
"postal_code": "452061780",
"telephone_number": "513-354-5238",
"fax_number": "513-354-5237"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RIVERS-PAYNE",
"first_name": "SUSAN",
"credential": "MSN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-11",
"last_updated": "2010-08-18",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "OH",
"license": "RN084379NP05398",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2153771",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAID",
"identifier": "7801148",
"state": "KY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Walnut Hills, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.