Active NPI
Jaime Payamps, LAT, ATC
- Athletic Trainer
- Orlando, FL
National Provider Identifier
1477015501
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- 2000032771
- Practice address
- 25 W Crystal Lake St Ste 200
Orlando, FL 32806-4476 - Phone
- (407) 254-2500
- NPI assigned
- Apr 6, 2019
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | 2000032771 | NC | Primary |
Addresses
Primary practice location
25 W Crystal Lake St Ste 200
Orlando, FL 32806-4476
Mailing address
752 Fulton PL # 3B-1
Greensboro, NC 27401-2434
Phone (904) 228-6591
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
| License | State | Type | Specialty |
|---|---|---|---|
| 2000032771 | NC | MD | Athletic Trainer |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1554508800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1603843200000",
"number": "1477015501",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "752 FULTON PL # 3B-1",
"city": "GREENSBORO",
"state": "NC",
"postal_code": "274012434",
"telephone_number": "904-228-6591"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "25 W CRYSTAL LAKE ST STE 200",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328064476",
"telephone_number": "407-254-2500"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PAYAMPS",
"first_name": "JAIME",
"credential": "LAT, ATC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2019-04-06",
"last_updated": "2020-10-28",
"certification_date": "2020-10-28",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "NC",
"license": "2000032771",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Orlando, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.