Individual provider Active NPI

Jasmine Payro, CST

  • Surgical Technologist
  • Fort Worth, TX
National Provider Identifier
1427421874
Registry record updated Nov 6, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical TechnologistTaxonomy code 246ZS0410X
License
25363605 Issued in TX
Practice address
8657 Star Thistle Dr
Fort Worth, TX 76179-4388
Phone
(817) 308-2808
NPI assigned
Nov 6, 2015
Last updated
Nov 6, 2015By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 6, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Technologist 246ZS0410X 25363605 TX Primary

Addresses

Primary practice location

8657 Star Thistle Dr
Fort Worth, TX 76179-4388

Mailing address

8657 Star Thistle Dr
Fort Worth, TX 76179-4388
Phone (817) 308-2808

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

State licenses

LicenseStateTypeSpecialty
25363605TXMDSurgical Technologist

NPI Registry JSON

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

{
    "created_epoch": "1446768000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1446768000000",
    "number": "1427421874",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8657 STAR THISTLE DR",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761794388",
            "telephone_number": "817-308-2808"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8657 STAR THISTLE DR",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761794388",
            "telephone_number": "817-308-2808"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAYRO",
        "first_name": "JASMINE",
        "credential": "CST",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-11-06",
        "last_updated": "2015-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "246ZS0410X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Other, Surgical Technologist",
            "state": "TX",
            "license": "25363605",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Worth, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2015; 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.