Erica Marie Payton, APRN, CPNP-AC

Primary specialty

Pediatric Nurse PractitionerTaxonomy code 363LP0200X

License

SP016395 Issued in PA

Practice address

1 Jarrett White Rd
Tripler Army Medical Center, HI 96859

Phone

(808) 433-2778

NPI assigned

Jul 28, 2015

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Erica Marie Caudill Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

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

{
    "created_epoch": "1438041600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1530748800000",
    "number": "1609251990",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 UNIVERSITY DR",
            "address_2": "PO BOX 850 PEDIATRIC HEME/ONC MC H085",
            "city": "HERSHEY",
            "state": "PA",
            "postal_code": "170332360",
            "telephone_number": "443-617-4451"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 JARRETT WHITE RD",
            "city": "TRIPLER ARMY MEDICAL CENTER",
            "state": "HI",
            "postal_code": "96859",
            "telephone_number": "808-433-2778"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAYTON",
        "first_name": "ERICA",
        "middle_name": "MARIE",
        "credential": "APRN, CPNP-AC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-07-28",
        "last_updated": "2018-07-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "TN",
            "license": "20228",
            "primary": false
        },
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "PA",
            "license": "SP016395",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ERICA",
            "last_name": "CAUDILL",
            "middle_name": "MARIE",
            "credential": "APRN, CPNP-AC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Katherine Park, DO
• Joyce Parkhurst
• Kristine Pascua
• Stacie Pascual, PHARM.D.
• Jeanette Emily Paterson, MD
• Jamie Nicole Pechek, RN
• Alexander James Peckham IV, MD
• Anita M Pedersen, MD
• Joshua Pekelo, PHARMD
• Kasmyne Pender, LMSW, LCSW

• Pediatric Nurse Practitioner in Tripler Army Medical Center, HI
• Providers in Tripler Army Medical Center, HI by specialty
• Pediatric Nurse Practitioner in Hawaii

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 5, 2018; 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.