Tena Payton-Vance

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

Legal business name

TENA PAYTON-VANCE

Practice address

39079 Buckingham Dr
Romulus, MI 48174-6325

Phone

(734) 892-4744

NPI assigned

Apr 16, 2020

Organization subpart

No

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

Authorized official

Name

Tena Payton-Vance

Title

NP

Phone

(734) 892-4744

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1586995200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1586995200000",
    "number": "1386264687",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "39079 BUCKINGHAM DR",
            "city": "ROMULUS",
            "state": "MI",
            "postal_code": "481746325"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "39079 BUCKINGHAM DR",
            "city": "ROMULUS",
            "state": "MI",
            "postal_code": "481746325",
            "telephone_number": "734-892-4744"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TENA PAYTON-VANCE",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-04-16",
        "last_updated": "2020-04-16",
        "certification_date": "2020-04-16",
        "status": "A",
        "authorized_official_last_name": "PAYTON-VANCE",
        "authorized_official_first_name": "TENA",
        "authorized_official_title_or_position": "NP",
        "authorized_official_telephone_number": "734-892-4744"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Family Nurse Practitioner in Romulus, MI
• Providers in Romulus, MI by specialty
• Family Nurse Practitioner in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2020; 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.