Active NPI
Sherrie Anne Payne, RT (R)
- Radiologic Technologist
- Mooresville, IN
National Provider Identifier
1801126271
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Radiologic Technologist
- License
- XT017693
- Practice address
- 3387 E Wilson Dr
Mooresville, IN 46158-6167 - Phone
- (317) 831-6878
- NPI assigned
- Jan 7, 2010
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Radiologic Technologist | 247100000X | XT017693 | IN | Primary |
Addresses
Primary practice location
3387 E Wilson Dr
Mooresville, IN 46158-6167
Mailing address
3387 E Wilson Dr
Mooresville, IN 46158-6167
Phone (317) 831-6878
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| XT017693 | IN | MD | Radiologic Technologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1262822400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1262822400000",
"number": "1801126271",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3387 E WILSON DR",
"city": "MOORESVILLE",
"state": "IN",
"postal_code": "461586167",
"telephone_number": "317-831-6878"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3387 E WILSON DR",
"city": "MOORESVILLE",
"state": "IN",
"postal_code": "461586167",
"telephone_number": "317-831-6878"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PAYNE",
"first_name": "SHERRIE",
"middle_name": "ANNE",
"credential": "RT (R)",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-01-07",
"last_updated": "2010-01-07",
"status": "A"
},
"taxonomies": [
{
"code": "247100000X",
"taxonomy_group": "",
"desc": "Radiologic Technologist",
"state": "IN",
"license": "XT017693",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Mooresville, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.