Active NPI
Lawrence (Larry) Eugene Payne, RN
- Registered Nurse
- Oklahoma City, OK
National Provider Identifier
1831654581
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- 116914
- Practice address
- 4420 N Lincoln Blvd
Oklahoma City, OK 73105-5104 - Phone
- (405) 424-7711
- NPI assigned
- Feb 7, 2019
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 116914 | OK | Primary |
Addresses
Primary practice location
4420 N Lincoln Blvd
Oklahoma City, OK 73105-5104
Mailing address
4674 S Winston Ave
Tulsa, OK 74135-3216
Phone (918) 565-3665
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
| License | State | Type | Specialty |
|---|---|---|---|
| 116914 | OK | MD | Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1549497600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1588204800000",
"number": "1831654581",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4674 S WINSTON AVE",
"city": "TULSA",
"state": "OK",
"postal_code": "741353216",
"telephone_number": "918-565-3665"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4420 N LINCOLN BLVD",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "731055104",
"telephone_number": "405-424-7711"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PAYNE",
"first_name": "LAWRENCE (LARRY)",
"middle_name": "EUGENE",
"credential": "RN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-02-07",
"last_updated": "2020-04-30",
"certification_date": "2020-04-30",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "OK",
"license": "116914",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Oklahoma City, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.