Michelle Yvonne Payne, STNA

Primary specialty

Community Health WorkerTaxonomy code 172V00000X

License

401104380610 Issued in OH

Practice address

16408 Myrtle Ave
Cleveland, OH 44128-3830

Phone

(216) 513-4920

NPI assigned

Aug 21, 2011

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Ms. Michelle Yvonne Beden Other name

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": "1313884800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1313884800000",
    "number": "1629358759",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16408 MYRTLE AVE",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441283830",
            "telephone_number": "216-475-5781"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16408 MYRTLE AVE",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441283830",
            "telephone_number": "216-513-4920"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAYNE",
        "first_name": "MICHELLE",
        "middle_name": "YVONNE",
        "name_prefix": "Ms.",
        "credential": "STNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-08-21",
        "last_updated": "2011-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172V00000X",
            "taxonomy_group": "",
            "desc": "Community Health Worker",
            "state": "OH",
            "license": "401104380610",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MICHELLE",
            "last_name": "BEDEN",
            "middle_name": "YVONNE",
            "prefix": "MS.",
            "credential": "STNA",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• James Payne Jr.
• James Thomas Payne
• Kaitlin Christine Payne, MD
• Kenyatta Payne
• Lucretia Payne
• Miriam Michelle Payne, RN
• Monique Payne
• Teara Payne
• Rinica Payton-Amison
• Alexis Renee Payton, RDN

• Community Health Worker in Cleveland, OH
• Providers in Cleveland, OH by specialty
• Community Health Worker in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2011; 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.