Individual provider Active NPI

Pamela Tina Payette, BSN, RN

  • Addiction (Substance Use Disorder) Registered Nurse
  • Columbus, OH
National Provider Identifier
1558020685
Registry record updated Dec 16, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) Registered NurseTaxonomy code 163WA0400X
License
387015 Issued in OH
Practice address
1380 Dublin Rd
Columbus, OH 43215-1025
Phone
(614) 488-7117
Fax
(614) 488-7118
NPI assigned
Dec 16, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 16, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Registered NurseGroup: 193400000X SINGLE SPECIALTY GROUP 163WA0400X 387015 OH Primary

Addresses

Primary practice location

1380 Dublin Rd
Columbus, OH 43215-1025

Mailing address

1380 Dublin Rd
Columbus, OH 43215-1025
Phone (740) 488-7117

Other identifiers 1

IdentifierTypeStateIssuer
263260689MedicaidOH

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address pamela.payette@cmsgiveshpe.com Direct

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
Credentials
Bachelor on Science - Nursing, Registered Nurse

State licenses

LicenseStateTypeSpecialty
387015OHMDAddiction (Substance Use Disorder) Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Community Medical Center Addiction (Substance Use Disorder) Current Accepting new patients

Locations

1380 Dublin Rd
Columbus, OH 43215
Phone (614) 488-7117

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1639612800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1639612800000",
    "number": "1558020685",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1380 DUBLIN RD",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432151025",
            "telephone_number": "740-488-7117"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1380 DUBLIN RD",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432151025",
            "telephone_number": "614-488-7117",
            "fax_number": "614-488-7118"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAYETTE",
        "first_name": "PAMELA",
        "middle_name": "TINA",
        "name_prefix": "Mrs.",
        "credential": "BSN, RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-12-16",
        "last_updated": "2021-12-16",
        "certification_date": "2021-12-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WA0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Registered Nurse, Addiction (Substance Use Disorder)",
            "state": "OH",
            "license": "387015",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "263260689",
            "state": "OH"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "pamela.payette@cmsgiveshpe.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "secured email",
            "address_1": "1380 Dublin Rd",
            "city": "Columbus",
            "state": "OH",
            "country_code": "US",
            "postal_code": "432151025",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Columbus, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.