Active NPI
Maria Enriqueta Payne, RNC
- Community Health Nurse Practitioner
- Pasadena, CA
National Provider Identifier
1265640957
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Health Nurse Practitioner
- License
- NPF 1275
- Practice address
- 1845 N Fair Oaks Ave
Pasadena, CA 91103-1620 - Phone
- (626) 744-6005
- NPI assigned
- May 18, 2007
- 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 |
|---|---|---|---|---|
| Community Health Nurse Practitioner | 363LC1500X | NPF 1275 | CA | Primary |
Addresses
Primary practice location
1845 N Fair Oaks Ave
Pasadena, CA 91103-1620
Mailing address
600 Sierra Meadows Dr
Sierra Madre, CA 91024-1135
Phone (626) 355-6509
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| NPF 1275 | Other | CA | NP FURNISHING NUMBER |
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
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| NPF 1275 | CA | MD | Community Health Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179446400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1265640957",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "600 SIERRA MEADOWS DR",
"city": "SIERRA MADRE",
"state": "CA",
"postal_code": "910241135",
"telephone_number": "626-355-6509"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1845 N FAIR OAKS AVE",
"city": "PASADENA",
"state": "CA",
"postal_code": "911031620",
"telephone_number": "626-744-6005"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PAYNE",
"first_name": "MARIA",
"middle_name": "ENRIQUETA",
"credential": "RNC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-05-18",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "363LC1500X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Community Health",
"state": "CA",
"license": "NPF 1275",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NP FURNISHING NUMBER",
"identifier": "NPF 1275",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Pasadena, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.