Clifford Alexander Payne, R. N.

Primary specialty

Addiction (Substance Use Disorder) Registered NurseTaxonomy code 163WA0400X

License

234503RN Issued in OH

Practice address

5737 Brookside Rd
Independence, OH 44131-6012

Phone

(216) 338-6670

NPI assigned

Sep 28, 2016

Last updated

Sep 28, 2016By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1475020800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1475020800000",
    "number": "1164971438",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5737 BROOKSIDE RD",
            "city": "INDEPENDENCE",
            "state": "OH",
            "postal_code": "441316012",
            "telephone_number": "216-338-6670"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5737 BROOKSIDE RD",
            "city": "INDEPENDENCE",
            "state": "OH",
            "postal_code": "441316012",
            "telephone_number": "216-338-6670"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAYNE",
        "first_name": "CLIFFORD",
        "middle_name": "ALEXANDER",
        "credential": "R. N.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-09-28",
        "last_updated": "2016-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WA0400X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Addiction (Substance Use Disorder)",
            "state": "OH",
            "license": "234503RN",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Paige Pasta
• Hemisha Patel, NURSE PRACTITIONER
• Neel Vipul Patel, PHARMD, RPH
• Pathfinder Career Academy of Ohio
• Marvin Paul
• Maureen Pentz, PT
• Peoplefirst Homecare & Hospice of Ohio, LLC (Gentiva)
• Tina Perebzak, CRNA
• Mercedes Perez, CNP
• Performance Vision Care Inc

• Addiction (Substance Use Disorder) Registered Nurse in Independence, OH
• Providers in Independence, OH by specialty
• Addiction (Substance Use Disorder) Registered Nurse in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2016; 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.