Tracie Lynn Payne, RN

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

RN00171735 Issued in WA

Practice address

165 Porter Rd
Kalama, WA 98625-9698

Phone

(360) 931-4107

NPI assigned

Aug 11, 2025

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 names 1

• Tracie Lynn King Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1754870400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754870400000",
    "number": "1730064551",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "165 PORTER RD",
            "city": "KALAMA",
            "state": "WA",
            "postal_code": "986259698",
            "telephone_number": "360-931-4107"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "165 PORTER RD",
            "city": "KALAMA",
            "state": "WA",
            "postal_code": "986259698",
            "telephone_number": "360-931-4107"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAYNE",
        "first_name": "TRACIE",
        "middle_name": "LYNN",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-08-11",
        "last_updated": "2025-08-11",
        "certification_date": "2025-08-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "WA",
            "license": "RN00171735",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TRACIE",
            "last_name": "KING",
            "middle_name": "LYNN",
            "credential": "RN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Chelsei Gene Jackson-Day, CDPT
• Kalama Pharmacy Inc (Godfreys)
• Kalama School District
• Brenda Kaye Larson, MA
• Jeremy Levin
• Colleen Emily Peterson, LMT
• Betsy Mae Preheim, LMP
• Colleen Marie Schaffer, LPN
• Spine Align Northwest P.C. (Spine Align Northwest)
• Jacob Stockton, D.C.

• Registered Nurse in Kalama, WA
• Providers in Kalama, WA by specialty
• Registered Nurse in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2025; 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.