Active NPI
Jessica Payne
- Speech-Language Pathologist
- Sweetwater, TX
National Provider Identifier
1487282059
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 1158489
- Practice address
- 1104 Henderson St
Sweetwater, TX 79556-6450 - Phone
- (325) 236-6821
- Fax
- (325) 236-6112
- NPI assigned
- Mar 30, 2020
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 1158489 | TX | Primary |
Addresses
Primary practice location
1104 Henderson St
Sweetwater, TX 79556-6450
Mailing address
409 Runnels St
Big Spring, TX 79720-2529
Phone (432) 264-4228
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 |
|---|---|---|---|
| 1158489 | TX | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Paso del Norte Children'S Development Center | Past | Accepting new patients | |
| West Texas Centers for MHMR | Past | Accepting new patients |
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 and National Provider Directory roles.
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- Developmental Disabilities Clinic/Center
- El Paso, TX
- NPI 1386867653
-
- Psychiatry Physician
- Big Spring, TX
- NPI 1154348514
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1585526400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1585526400000",
"number": "1487282059",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "409 RUNNELS ST",
"city": "BIG SPRING",
"state": "TX",
"postal_code": "797202529",
"telephone_number": "432-264-4228",
"fax_number": "432-268-9897"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1104 HENDERSON ST",
"city": "SWEETWATER",
"state": "TX",
"postal_code": "795566450",
"telephone_number": "325-236-6821",
"fax_number": "325-236-6112"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PAYNE",
"first_name": "JESSICA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-03-30",
"last_updated": "2020-03-30",
"certification_date": "2020-03-30",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "TX",
"license": "1158489",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Sweetwater, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 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.