Individual provider Active NPI

Marquita Shunta Payne

  • Home Health Agency
  • Memphis, TN
National Provider Identifier
1467038539
Registry record updated May 13, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Practice address
4656 Mill Landing CV
Memphis, TN 38116-7457
Phone
(901) 315-8954
NPI assigned
Mar 19, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 13, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

4656 Mill Landing CV
Memphis, TN 38116-7457

Mailing address

4656 Mill Landing CV
Memphis, TN 38116-7457
Phone (901) 315-8954

Other identifiers 1

IdentifierTypeStateIssuer
1467038539OtherTNHOME HEALTH CARE

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL tojoylivingassistance.com Direct

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

NPI Registry JSON

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

{
    "created_epoch": "1616112000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620864000000",
    "number": "1467038539",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4656 MILL LANDING CV",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381167457",
            "telephone_number": "901-315-8954"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4656 MILL LANDING CV",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381167457",
            "telephone_number": "901-315-8954"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAYNE",
        "first_name": "MARQUITA",
        "middle_name": "SHUNTA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-03-19",
        "last_updated": "2021-05-13",
        "certification_date": "2021-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HOME HEALTH CARE",
            "identifier": "1467038539",
            "state": "TN"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "tojoylivingassistance.com",
            "affiliation": "N",
            "endpointDescription": "1yr",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "4656 Mill Landing Cv",
            "city": "Memphis",
            "state": "TN",
            "country_code": "US",
            "postal_code": "381167457",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Memphis, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2021; 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.