Individual provider Active NPI

Jeremy Lamont Payne, DC

  • Naturopath
  • Eagle, ID
National Provider Identifier
1427213693
Registry record updated May 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
NaturopathTaxonomy code 175F00000X
License
1861365 Issued in ID
Practice address
951 E Plaza Dr Ste 170
Eagle, ID 83616-6569
Phone
(208) 917-2928
NPI assigned
Jul 27, 2008
Last updated
May 29, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 29, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CHIA-1965 ID
Naturopath 175F00000X 1861365 ID Primary

Addresses

Primary practice location

951 E Plaza Dr Ste 170
Eagle, ID 83616-6569

Mailing address

951 E Plaza Dr Ste 170
Eagle, ID 83616-6569
Phone (208) 917-2928

Other practice location 1

12413 Old Meridian St
Carmel, IN 46032-8713
Phone (317) 575-8820

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ID

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200706002106 ID Practitioner - Chiropractic 9436213881 Reassigns benefits to 1 organization
Practice locations: Eagle, ID

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Evolution Joint Pain ClinicGroup PAC ID 0547654469, 2 clinicians

Practice addresses (Care Compare)

947 E Winding Creek Dr
Suite 200
Eagle, ID 83616-7231
Phone (208) 217-2928

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CHIA-1965IDMDChiropractor
1861365IDMDNaturopath

Practice roles

OrganizationSpecialtyStatusNew patients
Evolution Chiropractic and Wellness Chiropractor CurrentSince May 21, 2020 Accepting new patients
Evolution Joint Pain Clinic Naturopath CurrentSince Sep 28, 2021 Accepting new patients

Locations

947 E Winding Creek Dr
#200
Eagle, ID 83616
Phone (208) 217-2928

951 E Plaza Dr
Ste 170
Eagle, ID 83616
Phone (208) 939-2505

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1217116800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748476800000",
    "number": "1427213693",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "951 E PLAZA DR STE 170",
            "city": "EAGLE",
            "state": "ID",
            "postal_code": "836166569",
            "telephone_number": "208-917-2928"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "951 E PLAZA DR STE 170",
            "city": "EAGLE",
            "state": "ID",
            "postal_code": "836166569",
            "telephone_number": "208-917-2928"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "12413 Old Meridian St",
            "address_purpose": "LOCATION",
            "city": "Carmel",
            "state": "IN",
            "postal_code": "460328713",
            "country_code": "US",
            "telephone_number": "317-575-8820",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PAYNE",
        "first_name": "JEREMY",
        "middle_name": "LAMONT",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-07-27",
        "last_updated": "2025-05-29",
        "certification_date": "2025-05-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "ID",
            "license": "CHIA-1965",
            "primary": false
        },
        {
            "code": "175F00000X",
            "taxonomy_group": "",
            "desc": "Naturopath",
            "state": "ID",
            "license": "1861365",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Eagle, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.