Courtney Elizabeth Payne, MS, RD

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

86118987 Issued in WA

Practice address

2506 NE 130TH Ave
Vancouver, WA 98684-4303

Phone

(913) 375-3176

NPI assigned

Mar 4, 2021

Last updated

Mar 4, 2021By the provider in NPPES

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

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1614816000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1614816000000",
    "number": "1821683400",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2506 NE 130TH AVE",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986844303",
            "telephone_number": "913-375-3176"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2506 NE 130TH AVE",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986844303",
            "telephone_number": "913-375-3176"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAYNE",
        "first_name": "COURTNEY",
        "middle_name": "ELIZABETH",
        "credential": "MS, RD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-03-04",
        "last_updated": "2021-03-04",
        "certification_date": "2021-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "WA",
            "license": "86118987",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Olya Pavlishina, LMFT
• Carolynn Jean Pavlock, DC
• Pavones Holdings, LLC
• Pax Family Counseling
• Payette Clinics, PC (Payette Clinic Medical & Mental Health Care)
• Deborah Payne, LMP
• Richard Barton Payne, O.D
• Cheryl Ellen Payton, M.S. SLP
• Deborah Jean Peabody
• Peace at Home Nursing Services LLC

• Registered Dietitian in Vancouver, WA
• Providers in Vancouver, WA by specialty
• Registered Dietitian in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2021; 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.