Druanne Payne, SLP
Individual provider Active NPI Speech-Language Pathologist · Questa, NM
NPI 1467599704 · NPPES record last updated Jul 9, 2007
Key facts
- NPI
- 1467599704
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Speech-Language Pathologist 235Z00000X
- License
- 3486 (NM)
- Practice address
- 527 Sagebrush Road
Questa, NM 87556-0440 - Phone
- (505) 586-1604
- NPI assigned
- Jan 30, 2007
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3486 | NM | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Questa Independent Schools | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 3486 | NM | Yes |
Addresses
Primary practice location
527 Sagebrush Road
Questa, NM 87556-0440
Mailing address
PO Box 956
El Prado, NM 87529-0956
Phone (505) 770-2066
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| T6536 | Medicaid | NM |
Other providers in Questa, NM
- Audrey Laws
- Kyline M Martinez
- Natasha Lee McCants
- Michael Shawn McCormack
- Angelica Deidre Medina
- Veronika Anne Peacetree
- Valerie Lynne Pierce
- Presbyterian Medical Services
- Questa Independent Schools
- Carol Joann Quintana
All providers in Questa, NM · Speech-Language Pathologist in New Mexico
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 9, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.