Active NPI
Laurie Ellen Payne, RD, CDE
- Registered Dietitian
- Spokane, WA
National Provider Identifier
1265514434
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- DI00001404
- Practice address
- 601 W 1St Ave
Spokane, WA 99201-3825 - Phone
- (509) 232-8160
- Fax
- (509) 232-8392
- NPI assigned
- Oct 19, 2006
- 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 | DI00001404 | WA | Primary |
Addresses
Primary practice location
601 W 1St Ave
Spokane, WA 99201-3825
Mailing address
PO Box 469
Spokane, WA 99210-0469
Phone (509) 232-8160
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7122724 | Medicaid | WA | |
| P00161890 | Other | WA | RAILROAD MEDICARE |
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DI00001404 | WA | MD | Registered Dietitian |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161216000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1325030400000",
"number": "1265514434",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 469",
"city": "SPOKANE",
"state": "WA",
"postal_code": "992100469",
"telephone_number": "509-232-8160",
"fax_number": "509-232-8392"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "601 W 1ST AVE",
"city": "SPOKANE",
"state": "WA",
"postal_code": "992013825",
"telephone_number": "509-232-8160",
"fax_number": "509-232-8392"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PAYNE",
"first_name": "LAURIE",
"middle_name": "ELLEN",
"credential": "RD, CDE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-19",
"last_updated": "2011-12-28",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "WA",
"license": "DI00001404",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7122724",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "P00161890",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Spokane, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 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.