Becky L Payne, MATCC/SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

1112-154 Issued in WI

Practice address

2523 14 3/4 Ave
Rice Lake, WI 54868-8736

Phone

(715) 859-6670

Fax

(715) 859-6669

NPI assigned

Nov 17, 2005

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Natures Edge Therapy Center

  • Occupational Therapist
  • Rice Lake, WI
  • NPI 1083696702

  Speech-Language Pathologist

  NPD (past)
• Speech Therapy Associates of Northwest Wisconsin, LTD

  • Speech-Language Pathologist
  • Ladysmith, WI
  • NPI 1487620837
  NPD (past)

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

{
    "created_epoch": "1132185600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1340064000000",
    "number": "1609858307",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2523 14 3/4 AVE",
            "city": "RICE LAKE",
            "state": "WI",
            "postal_code": "548688736",
            "telephone_number": "715-859-6670"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2523 14 3/4 AVE",
            "city": "RICE LAKE",
            "state": "WI",
            "postal_code": "548688736",
            "telephone_number": "715-859-6670",
            "fax_number": "715-859-6669"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAYNE",
        "first_name": "BECKY",
        "middle_name": "L",
        "credential": "MATCC/SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-11-17",
        "last_updated": "2012-06-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "WI",
            "license": "1112-154",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "42740100",
            "state": "WI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ATRIUM",
            "identifier": "216L5LU",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Osterbauer Drugs LTD
• Owens Chiropractic LLC
• Thomas Paine, MS, RDN
• Pathway Dental of Rice Lake
• Michele M Paulson, SLP
• Brandon Payne, DO
• Richard F Pebler, MD
• Nicole L. Pederson, DPT
• Thomas Michael Pelant, M.D.
• Michelle J Perlick, PT

• Speech-Language Pathologist in Rice Lake, WI
• Providers in Rice Lake, WI by specialty
• Speech-Language Pathologist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2012; 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.