Salvador A Payumo Jr., PMHNP

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

1015717 Issued in TX

Practice address

721 Thompson Dr
Kerrville, TX 78028-5199

Phone

(830) 896-2211

NPI assigned

Oct 7, 2020

Sex

Male

Sole proprietor

Yes

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: spayumo33036@direct.utmsa.com

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.

• Aslam Loya, M.D. P.a

  • Internal Medicine Physician
  • Houston, TX
  • NPI 1659580728
  NPD (past)

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

{
    "created_epoch": "1602028800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1700870400000",
    "number": "1104423573",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "721 THOMPSON DR",
            "city": "KERRVILLE",
            "state": "TX",
            "postal_code": "780285199",
            "telephone_number": "830-896-2211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "721 THOMPSON DR",
            "city": "KERRVILLE",
            "state": "TX",
            "postal_code": "780285199",
            "telephone_number": "830-896-2211"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAYUMO",
        "first_name": "SALVADOR",
        "middle_name": "A",
        "name_suffix": "Jr.",
        "credential": "PMHNP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-10-07",
        "last_updated": "2023-11-25",
        "certification_date": "2021-11-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "TX",
            "license": "875228",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "TX",
            "license": "1015717",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sophia Pautler
• Frank Pawlak, FNP-C
• Sunny N. Pawlik, LCDC
• Karen Sue Payne, LVN
• Lauren Payne
• Corinne Mary Pederson, D.C.
• William Pederson, M.D.
• Kelly C Pelton, MD
• Pena Optical Solutions LLC
• Benito Pena, O.D

• Psychiatric/Mental Health Nurse Practitioner in Kerrville, TX
• Providers in Kerrville, TX by specialty
• Psychiatric/Mental Health Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 2023; 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.