Martha Ann Payne

Primary specialty

Women's Health Nurse PractitionerTaxonomy code 363LW0102X

License

AP107244 Issued in TX

Practice address

605 S Ivy St
Hillsboro, TX 76645-3513

Phone

(254) 316-0216

Fax

(254) 582-1072

NPI assigned

Apr 19, 2024

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": "1713484800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713484800000",
    "number": "1770338121",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "605 S IVY ST",
            "city": "HILLSBORO",
            "state": "TX",
            "postal_code": "766453513",
            "telephone_number": "254-316-0216",
            "fax_number": "254-582-1072"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "605 S IVY ST",
            "city": "HILLSBORO",
            "state": "TX",
            "postal_code": "766453513",
            "telephone_number": "254-316-0216",
            "fax_number": "254-582-1072"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAYNE",
        "first_name": "MARTHA",
        "middle_name": "ANN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-04-19",
        "last_updated": "2024-04-19",
        "certification_date": "2024-04-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "TX",
            "license": "533052",
            "primary": false
        },
        {
            "code": "163WI0600X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Infection Control",
            "state": "TX",
            "license": "118342",
            "primary": false
        },
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "TX",
            "license": "AP107244",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mehar Chand Oad, M.D.
• Omnia Behavioral Health, PLLC
• Crystal Demetrice Palmer, RBT
• Stephen F Parker, CRNA
• Catharine Jean Patterson, RD, LD
• Matthew Douglas Peacock, PT, DPT
• Severo Perez III, COTA
• Personal Care Hospice Service Inc
• Peter E Cornell, DPM PC
• Tiffany Polston, PT

• Women's Health Nurse Practitioner in Hillsboro, TX
• Providers in Hillsboro, TX by specialty
• Women's Health Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2024; 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.