Annalyse L Payne

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

A160702956 Issued in WA

Practice address

33930 9TH Ave S
Federal Way, WA 98003-6708

Phone

(253) 553-6284

NPI assigned

Jul 18, 2023

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

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": "1689638400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689638400000",
    "number": "1790465441",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "114 BENT TREE LN",
            "city": "PACIFIC",
            "state": "WA",
            "postal_code": "980471398",
            "telephone_number": "253-569-5590"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "33930 9TH AVE S",
            "city": "FEDERAL WAY",
            "state": "WA",
            "postal_code": "980036708",
            "telephone_number": "253-553-6284"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAYNE",
        "first_name": "ANNALYSE",
        "middle_name": "L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-07-18",
        "last_updated": "2023-07-18",
        "certification_date": "2023-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "WA",
            "license": "A160702956",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Samantha Patton, MSW, LICSW
• Elizabeth S Paul
• Henry E Paul
• Jill Elisa Paulson, COTA/L
• Tatyana Zonikovna Pavlyuk
• PB Primary Care Clinic LLC
• Melissa Lynn Pederson, MSW
• Pediatric Clinic
• Pediatric Specialty Practices, PLLC
• Melanie Pellizzon, LMFTA

• Athletic Trainer in Federal Way, WA
• Providers in Federal Way, WA by specialty
• Athletic Trainer in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2023; 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.