Individual provider Active NPI

Deborah A Payne, PHD, DABMM, DABCC

  • Clinical Pathology/Laboratory Medicine Physician
  • Lakewood, CO
National Provider Identifier
1851062020
Registry record updated Sep 27, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Pathology/Laboratory Medicine PhysicianTaxonomy code 207ZP0105X
License
000026026 Issued in TN
Practice address
2408 S Holland CT
Lakewood, CO 80227-2230
Phone
(214) 801-6319
NPI assigned
Sep 27, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 27, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Microbiology Physician 207ZM0300X PAYND1 NY
Clinical Pathology/Laboratory Medicine Physician 207ZP0105X 000026026 TN Primary

Addresses

Primary practice location

2408 S Holland CT
Lakewood, CO 80227-2230

Mailing address

2408 S Holland CT
Lakewood, CO 80227-2230
Phone (214) 801-6319

Other practice location 1

6116 E Warren Ave
Denver, CO 80222-5703
Phone (303) 512-2253

Other practice location 2

2800 S Fish Hatchery Rd
Fitchburg, WI 53711-5368
Phone (214) 801-6319

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
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
PAYND1NYMDMedical Microbiology Physician
000026026TNMDClinical Pathology/Laboratory Medicine Physician

NPI Registry JSON

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

{
    "created_epoch": "1632700800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1632700800000",
    "number": "1851062020",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2408 S HOLLAND CT",
            "city": "LAKEWOOD",
            "state": "CO",
            "postal_code": "802272230",
            "telephone_number": "214-801-6319"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2408 S HOLLAND CT",
            "city": "LAKEWOOD",
            "state": "CO",
            "postal_code": "802272230",
            "telephone_number": "214-801-6319"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6116 E Warren Ave",
            "address_purpose": "LOCATION",
            "city": "Denver",
            "state": "CO",
            "postal_code": "802225703",
            "country_code": "US",
            "telephone_number": "303-512-2253",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2800 S Fish Hatchery Rd",
            "address_purpose": "LOCATION",
            "city": "Fitchburg",
            "state": "WI",
            "postal_code": "537115368",
            "country_code": "US",
            "telephone_number": "214-801-6319",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PAYNE",
        "first_name": "DEBORAH",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "PHD, DABMM, DABCC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-09-27",
        "last_updated": "2021-09-27",
        "certification_date": "2021-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZM0300X",
            "taxonomy_group": "",
            "desc": "Pathology, Medical Microbiology",
            "state": "NY",
            "license": "PAYND1",
            "primary": false
        },
        {
            "code": "207ZP0105X",
            "taxonomy_group": "",
            "desc": "Pathology, Clinical Pathology/Laboratory Medicine",
            "state": "TN",
            "license": "000026026",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lakewood, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 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.