Individual provider Active NPI

Simon Paye, RN

  • Home Health Registered Nurse
  • Ramsey, MN
National Provider Identifier
1801373915
Registry record updated Jun 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health Registered NurseTaxonomy code 163WH0200X
License
2459821 Issued in MN
Practice address
14853 Peridot St NW
Ramsey, MN 55303-4910
Phone
(612) 423-8624
Fax
(612) 677-3611
NPI assigned
Jul 20, 2018
Last updated
Jun 13, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 13, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Registered Nurse 163WH0200X 2459821 MN Primary

Addresses

Primary practice location

14853 Peridot St NW
Ramsey, MN 55303-4910

Mailing address

PO Box 290187
Brooklyn Center, MN 55429-6187
Phone (507) 304-2985

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
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
2459821MNMDHome Health Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Allianze Healthcare LLC Current Accepting new patients
Allianze Healthcare LLC Current Accepting new patients
Luxisuites LLC PastSince Aug 1, 2021 Accepting new patients

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1532044800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718236800000",
    "number": "1801373915",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 290187",
            "city": "BROOKLYN CENTER",
            "state": "MN",
            "postal_code": "554296187",
            "telephone_number": "507-304-2985",
            "fax_number": "612-677-3611"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14853 PERIDOT ST NW",
            "city": "RAMSEY",
            "state": "MN",
            "postal_code": "553034910",
            "telephone_number": "612-423-8624",
            "fax_number": "612-677-3611"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAYE",
        "first_name": "SIMON",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-07-20",
        "last_updated": "2024-06-13",
        "certification_date": "2024-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WH0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Home Health",
            "state": "MN",
            "license": "2459821",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ramsey, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 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.