Tammy Payne, LPN

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

PN. 119836 IV Issued in OH

Practice address

6405 State Route 141
Kitts Hill, OH 45645-9038

Phone

(740) 533-0640

NPI assigned

Mar 20, 2007

Last updated

Jul 9, 2007By 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

Other identifiers 1

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": "1174348800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1205951332",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6263 COUNTY ROAD 6",
            "city": "KITTS HILL",
            "state": "OH",
            "postal_code": "456458816",
            "telephone_number": "740-533-1603"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6405 STATE ROUTE 141",
            "city": "KITTS HILL",
            "state": "OH",
            "postal_code": "456459038",
            "telephone_number": "740-533-0640"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAYNE",
        "first_name": "TAMMY",
        "name_prefix": "Mrs.",
        "credential": "LPN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-20",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "OH",
            "license": "PN. 119836  IV",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2586385",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Danelle Mullins
• Katy Sue Myers
• Amiee D Pack
• Martha J Pack
• Wendy Parsons, PTA
• Rosa Short
• Amber N Simpkins I, LPN
• Carla D Skaggs, LPN
• Georgine Deana Stambaugh
• Sunstrides Physical Therapy, LLC

• Licensed Practical Nurse in Kitts Hill, OH
• Providers in Kitts Hill, OH by specialty
• Licensed Practical Nurse in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; 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.