Kimberly Reid Payne

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

0193131 Issued in NM

Practice address

5203 Juan Tabo Blvd NE
Ste 2a
Albuquerque, NM 87111-2683

Phone

(505) 933-6338

Fax

(505) 221-5710

NPI assigned

Oct 13, 2014

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1413158400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1515974400000",
    "number": "1104220672",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5203 JUAN TABO BLVD NE",
            "address_2": "STE 2A",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871112683",
            "telephone_number": "505-933-6338",
            "fax_number": "505-221-5710"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5203 JUAN TABO BLVD NE",
            "address_2": "STE 2A",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871112683",
            "telephone_number": "505-933-6338",
            "fax_number": "505-221-5710"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAYNE",
        "first_name": "KIMBERLY",
        "middle_name": "REID",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-10-13",
        "last_updated": "2018-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NM",
            "license": "0193131",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robert Joseph Payette, RN
• Brian Payne
• Colleen Payne
• Joy Payne, CD(DONA)
• Jude Christine Payne, MSW
• Maurice Kato Payne, LPCC
• Patricia Anne Payne, PHD, CNM
• Pamela Payton, OT
• Tyler West Payton Jr., M.D.
• Paz Counseling LLC

• Professional Counselor in Albuquerque, NM
• Providers in Albuquerque, NM by specialty
• Professional Counselor in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.