Reuben Thomas Payte, RN
Individual provider Active NPI Registered Nurse · Haskell, AR
NPI 1497575823 · NPPES record last updated Oct 11, 2024
Key facts
- NPI
- 1497575823
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Registered Nurse 163W00000X
- License
- R086455 (AR)
- Practice address
- 208 Timber Lake Dr
Haskell, AR 72015-7932 - Phone
- (407) 493-5989
- NPI assigned
- Oct 11, 2024
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R086455 | AR | MD | Registered Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Registered Nurse | 163W00000X | R086455 | AR | Yes |
Addresses
Primary practice location
208 Timber Lake Dr
Haskell, AR 72015-7932
Mailing address
208 Timber Lake Dr
Haskell, AR 72015-7932
Phone (407) 493-5989
Other providers in Haskell, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 11, 2024. 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.