Michelle Rose Payne, CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

22001618A Issued in IN

Practice address

5825 Magnificent LN
Indianapolis, IN 46234-9039

Phone

(317) 858-8701

NPI assigned

Aug 13, 2011

Last updated

Aug 13, 2011By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1313193600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1313193600000",
    "number": "1164701793",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5825 MAGNIFICENT LN",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462349039",
            "telephone_number": "317-858-8701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5825 MAGNIFICENT LN",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462349039",
            "telephone_number": "317-858-8701"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAYNE",
        "first_name": "MICHELLE",
        "middle_name": "ROSE",
        "name_prefix": "Mrs.",
        "credential": "CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-08-13",
        "last_updated": "2011-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "IN",
            "license": "22001618A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Katelyn Payne, R.N., C.G.C.
• Lachae Payne
• Margaret Rose Payne, CNS
• Marianne Payne, LPN
• Michael Steven Payne, MD
• Richard Payne, M.D
• Ronald M Payne, MD
• Gwendolyn Paynter
• Qiana Jaquay Paynter, LCSW
• Anna Payton, NP

• Speech-Language Pathologist in Indianapolis, IN
• Providers in Indianapolis, IN by specialty
• Speech-Language Pathologist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2011; 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.