Abra Payne, LPN

Primary specialty

TechnicianTaxonomy code 374700000X

License

2000170576 Issued in MO

Practice address

705 Old 63 S
Columbia, MO 65201-6065

Phone

(573) 823-8986

Fax

(573) 442-3538

NPI assigned

Apr 2, 2008

Last updated

Apr 2, 2008By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1207094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1207094400000",
    "number": "1598937211",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "705 OLD 63 S",
            "city": "COLUMBIA",
            "state": "MO",
            "postal_code": "652016065",
            "telephone_number": "573-823-8986",
            "fax_number": "573-442-3538"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "705 OLD 63 S",
            "city": "COLUMBIA",
            "state": "MO",
            "postal_code": "652016065",
            "telephone_number": "573-823-8986",
            "fax_number": "573-442-3538"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAYNE",
        "first_name": "ABRA",
        "credential": "LPN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-04-02",
        "last_updated": "2008-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "374700000X",
            "taxonomy_group": "",
            "desc": "Technician",
            "state": "MO",
            "license": "2000170576",
            "primary": true
        },
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "MO",
            "license": "2000170576",
            "primary": false
        },
        {
            "code": "172A00000X",
            "taxonomy_group": "",
            "desc": "Driver",
            "state": "MO",
            "license": "2000170576",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anjali Patwardhan, M.D.
• Frederick D Paugh
• Francelyse Paul, MD
• Emily Paulsen, MA, PLPC
• Alyssa Pax, RBT
• Hailey Michele Payne, LMSW
• Rayni Nicole Payne, AGACNP-BC
• Emily Jane Pea, LCSW
• Amanda Catherine Pead, AU.D
• Pearle Vision Inc (Pearle Vision #C6376)

• Technician in Columbia, MO
• Providers in Columbia, MO by specialty
• Technician in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2008; 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.