Individual provider Active NPI

Joanne Payne, M.S., CCC-A

  • Audiologist
  • Northport, AL
National Provider Identifier
1578729299
Registry record updated Aug 1, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
654A Issued in AL
Practice address
608 Kirkwood Dr
Northport, AL 35473-1633
Phone
(205) 333-0942
NPI assigned
Aug 1, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 1, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X 654A AL Primary

Addresses

Primary practice location

608 Kirkwood Dr
Northport, AL 35473-1633

Mailing address

608 Kirkwood Dr
Northport, AL 35473-1633
Phone (205) 333-0942

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100916000196 AL Practitioner - Qualified Audiologist 2769507698 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
654AALMDAudiologist

Practice roles

OrganizationSpecialtyStatusNew patients
Board of Trustees of the University of Alabama Audiologist CurrentSince Dec 8, 2016 Accepting new patients

Locations

700 University Blvd E
Tuscaloosa, AL 35401
Phone (205) 348-7131

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": "1217548800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1217548800000",
    "number": "1578729299",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "608 KIRKWOOD DR",
            "city": "NORTHPORT",
            "state": "AL",
            "postal_code": "354731633",
            "telephone_number": "205-333-0942"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "608 KIRKWOOD DR",
            "city": "NORTHPORT",
            "state": "AL",
            "postal_code": "354731633",
            "telephone_number": "205-333-0942"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAYNE",
        "first_name": "JOANNE",
        "credential": "M.S., CCC-A",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-08-01",
        "last_updated": "2008-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "AL",
            "license": "654A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Northport, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.