Active NPI
Deadra C Payne, RN
- Adult Psychiatric/Mental Health Registered Nurse
- London, OH
National Provider Identifier
1407298433
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Psychiatric/Mental Health Registered Nurse
- License
- RN 374630
- Practice address
- 210 N Main St
London, OH 43140-1115 - Phone
- (740) 852-6256
- Fax
- (740) 852-6395
- NPI assigned
- Jul 18, 2013
- 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 |
|---|---|---|---|---|
| Adult Psychiatric/Mental Health Registered Nurse | 163WP0809X | RN 374630 | OH | Primary |
Addresses
Primary practice location
210 N Main St
London, OH 43140-1115
Mailing address
210 N Main St
London, OH 43140-1115
Phone (740) 852-6256
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
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN 374630 | OH | MD | Adult Psychiatric/Mental Health Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1374105600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1374192000000",
"number": "1407298433",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "210 N MAIN ST",
"city": "LONDON",
"state": "OH",
"postal_code": "431401115",
"telephone_number": "740-852-6256",
"fax_number": "740-852-6395"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "210 N MAIN ST",
"city": "LONDON",
"state": "OH",
"postal_code": "431401115",
"telephone_number": "740-852-6256",
"fax_number": "740-852-6395"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PAYNE",
"first_name": "DEADRA",
"middle_name": "C",
"name_prefix": "Ms.",
"credential": "RN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-07-18",
"last_updated": "2013-07-19",
"status": "A"
},
"taxonomies": [
{
"code": "163WP0809X",
"taxonomy_group": "",
"desc": "Registered Nurse, Psychiatric/Mental Health, Adult",
"state": "OH",
"license": "RN 374630",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in London, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 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.