Carrie Payne, LPN

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

043100897 Issued in IL

Practice address

14410 Route 37
Johnston City, IL 62951-3166

Phone

(618) 983-6911

NPI assigned

Dec 19, 2016

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

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": "1482105600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1482105600000",
    "number": "1306381850",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 155",
            "city": "CHRISTOPHER",
            "state": "IL",
            "postal_code": "628220155",
            "telephone_number": "618-724-2401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14410 ROUTE 37",
            "city": "JOHNSTON CITY",
            "state": "IL",
            "postal_code": "629513166",
            "telephone_number": "618-983-6911"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAYNE",
        "first_name": "CARRIE",
        "credential": "LPN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-12-19",
        "last_updated": "2016-12-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "IL",
            "license": "043100897",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Molly Miller, NP
• Nova M. Griffith, PH.D., Psychological Services LLC
• Pathway House, Inc.
• Rachel Adrianne Pauls, MS, SLP
• Betty Jane Payne, LPN
• Christa S Pestka, MD
• Amy Potts, LPN
• Kayce E Rametta, LPN
• Randa Deanne Roddy, RN
• Betty L Rucker, LPN

• Licensed Practical Nurse in Johnston City, IL
• Providers in Johnston City, IL by specialty
• Licensed Practical Nurse in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 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.