Miriam Michelle Payne, RN

Primary specialty

Critical Care Medicine Registered NurseTaxonomy code 163WC0200X

License

RN147591 Issued in OH

Practice address

23613 S Frontenac Dr
Cleveland, OH 44128-4950

Phone

(216) 403-7017

NPI assigned

Aug 28, 2013

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Miriam Michelle Grooms Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1377648000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1377648000000",
    "number": "1326472143",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23613 S FRONTENAC DR",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441284950",
            "telephone_number": "216-403-7017"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23613 S FRONTENAC DR",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441284950",
            "telephone_number": "216-403-7017"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAYNE",
        "first_name": "MIRIAM",
        "middle_name": "MICHELLE",
        "name_prefix": "Mrs.",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-08-28",
        "last_updated": "2013-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WC0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Critical Care Medicine",
            "state": "OH",
            "license": "RN147591",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MIRIAM",
            "last_name": "GROOMS",
            "middle_name": "MICHELLE",
            "credential": "RN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• James Thomas Payne
• Kaitlin Christine Payne, MD
• Kenyatta Payne
• Lucretia Payne
• Michelle Yvonne Payne, STNA
• Monique Payne
• Teara Payne
• Rinica Payton-Amison
• Alexis Renee Payton, RDN
• Charlene Lyric Payton

• Critical Care Medicine Registered Nurse in Cleveland, OH
• Providers in Cleveland, OH by specialty
• Critical Care Medicine Registered Nurse in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2013; 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.