Active NPI
Latonda E Paymon, CRNP
- Family Nurse Practitioner
- Montgomery, AL
National Provider Identifier
1306080908
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 01-067220
- Practice address
- 2611 Woodley Park Dr
Montgomery, AL 36116-3834 - Phone
- (334) 288-0009
- Fax
- (334) 281-7453
- NPI assigned
- Apr 27, 2009
- 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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 01-067220 | AL | Primary |
Addresses
Primary practice location
2611 Woodley Park Dr
Montgomery, AL 36116-3834
Mailing address
2611 Woodley Park Dr
Montgomery, AL 36116-3834
Phone (334) 288-0009
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1-067220 | Other | AL | ALABAMA BOARD OF NURSING |
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 01-067220 | AL | MD | Family Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1240790400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1287619200000",
"number": "1306080908",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2611 WOODLEY PARK DR",
"city": "MONTGOMERY",
"state": "AL",
"postal_code": "361163834",
"telephone_number": "334-288-0009",
"fax_number": "334-281-7453"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2611 WOODLEY PARK DR",
"city": "MONTGOMERY",
"state": "AL",
"postal_code": "361163834",
"telephone_number": "334-288-0009",
"fax_number": "334-281-7453"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PAYMON",
"first_name": "LATONDA",
"middle_name": "E",
"credential": "CRNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-04-27",
"last_updated": "2010-10-21",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "AL",
"license": "01-067220",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ALABAMA BOARD OF NURSING",
"identifier": "1-067220",
"state": "AL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Montgomery, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.