Individual provider Active NPI

Sue W Payne, CRNP

  • Family Nurse Practitioner
  • Springville, AL
National Provider Identifier
1497876031
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1-043936 Issued in AL
Practice address
480 Walker Dr
Springville, AL 35146-3250
Phone
(205) 467-6919
Fax
(205) 467-7088
NPI assigned
Apr 2, 2007
Last updated
Jul 9, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 1-043936 AL Primary

Addresses

Primary practice location

480 Walker Dr
Springville, AL 35146-3250

Mailing address

480 Walker Dr
Springville, AL 35146-3250
Phone (205) 467-6919

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130130000282 AL Practitioner - Nurse Practitioner 3971757873 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
University of Alabama School of Medicine, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Birmingham Internal Medicine Associates, LLCGroup PAC ID 1658341193, 123 clinicians

Practice addresses (Care Compare)

7191 Cahaba Valley Rd
Suite 300
Hoover, AL 35242-6461
Phone (205) 814-7206

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse, Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Birmingham Internal Medicine Associates, LLC Family CurrentSince Dec 1, 2020 Accepting new patients
Rapha Healthcare, Inc Past Accepting new patients

Locations

7191 Cahaba Valley Rd
Ste 300
Hoover, AL 35242
Phone (205) 930-2060

70 Plaza Dr
Pell City, AL 35125
Phone (205) 814-9284

74 Plaza Dr
Pell City, AL 35125
Phone (205) 814-7272

480 Walker Dr
Springville, AL 35146
Phone (205) 467-6919

Interoperability endpoints

  • Direct secure messaging: sue.payne.1@15135.direct.athenahealth.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1175472000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1497876031",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "480 WALKER DR",
            "city": "SPRINGVILLE",
            "state": "AL",
            "postal_code": "351463250",
            "telephone_number": "205-467-6919",
            "fax_number": "205-467-7088"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "480 WALKER DR",
            "city": "SPRINGVILLE",
            "state": "AL",
            "postal_code": "351463250",
            "telephone_number": "205-467-6919",
            "fax_number": "205-467-7088"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAYNE",
        "first_name": "SUE",
        "middle_name": "W",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-02",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AL",
            "license": "1-043936",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Springville, AL

Sources for this page

Verify at the official NPI Registry.