Active NPI
Kathleen S. Payne, R.D.
- Registered Dietitian
- Allenwood, NJ
National Provider Identifier
1124378609
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 00477442
- Practice address
- 3244 Ridgewood Rd.
Allenwood, NJ 08720 - Phone
- (732) 829-2074
- Fax
- (732) 974-7427
- NPI assigned
- Sep 12, 2012
- 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 |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 00477442 | Primary |
Addresses
Primary practice location
3244 Ridgewood Rd.
Allenwood, NJ 08720
Mailing address
P.O. Box 266
Allenwood, NJ 08720
Phone (732) 829-2074
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)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1347408000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1347408000000",
"number": "1124378609",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "P.O. BOX 266",
"city": "ALLENWOOD",
"state": "NJ",
"postal_code": "08720",
"telephone_number": "732-829-2074",
"fax_number": "732-974-7427"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3244 RIDGEWOOD RD.",
"city": "ALLENWOOD",
"state": "NJ",
"postal_code": "08720",
"telephone_number": "732-829-2074",
"fax_number": "732-974-7427"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PAYNE",
"first_name": "KATHLEEN",
"middle_name": "S.",
"name_prefix": "Ms.",
"credential": "R.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-09-12",
"last_updated": "2012-09-12",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": null,
"license": "00477442",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Allenwood, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.