Active NPI
Travis Payne, RN, BSN, CCRN
- Critical Care Medicine Registered Nurse
- Spokane, WA
National Provider Identifier
1861176398
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Critical Care Medicine Registered Nurse
- License
- 60814517
- Practice address
- 800 W 5TH Ave
Spokane, WA 99204-2803 - Phone
- (509) 603-7259
- NPI assigned
- Jun 14, 2023
- 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 |
|---|---|---|---|---|
| Critical Care Medicine Registered Nurse | 163WC0200X | 60814517 | WA | Primary |
Addresses
Primary practice location
800 W 5TH Ave
Spokane, WA 99204-2803
Mailing address
3181 N Livorno Rd
Post Falls, ID 83854-5415
Phone (208) 457-2604
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
- Bachelor on Science - Nursing, Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 60814517 | WA | MD | Critical Care Medicine Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1686700800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1686700800000",
"number": "1861176398",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3181 N LIVORNO RD",
"city": "POST FALLS",
"state": "ID",
"postal_code": "838545415",
"telephone_number": "208-457-2604"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "800 W 5TH AVE",
"city": "SPOKANE",
"state": "WA",
"postal_code": "992042803",
"telephone_number": "509-603-7259"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PAYNE",
"first_name": "TRAVIS",
"credential": "RN, BSN, CCRN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2023-06-14",
"last_updated": "2023-06-14",
"certification_date": "2023-06-14",
"status": "A"
},
"taxonomies": [
{
"code": "163WC0200X",
"taxonomy_group": "",
"desc": "Registered Nurse, Critical Care Medicine",
"state": "WA",
"license": "60814517",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Spokane, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.