Annabelle S Payne, LICMSW

Primary specialty

Social WorkerTaxonomy code 104100000X

Practice address

105 South Garden Ave
Newport, WA 99156-5055

Phone

(509) 447-5651

Fax

(509) 447-2671

NPI assigned

Jan 16, 2007

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

Enrolled in WA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Social Worker

Education

Other, 1998

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Stevens CountyGroup PAC ID 2466349394, 12 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.qualifacts.org/api/fhir/pendoreilleco/r4/

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

• Stevens County

  • Community/Behavioral Health Agency
  • Colville, WA
  • NPI 1891792966
  Medicare reassignment Care Compare group NPD
• Pend Oreille County Counseling Services

  • Mental Health Counselor
  • Newport, WA
  • NPI 1982956561
  NPD (past) Authorized official
• Stevens County

  • Land Ambulance
  • Colville, WA
  • NPI 1104970268
  NPD
• Pend Oreille County Counseling Services

  • Mental Health Counselor
  • Newport, WA
  • NPI 1104978824
  NPD (past)

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

{
    "created_epoch": "1168905600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1871645598",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5055",
            "city": "NEWPORT",
            "state": "WA",
            "postal_code": "991565055",
            "telephone_number": "509-447-5651",
            "fax_number": "509-447-2671"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 SOUTH GARDEN AVE",
            "city": "NEWPORT",
            "state": "WA",
            "postal_code": "991565055",
            "telephone_number": "509-447-5651",
            "fax_number": "509-447-2671"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAYNE",
        "first_name": "ANNABELLE",
        "middle_name": "S",
        "credential": "LICMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-16",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nichole Packwood
• Sandee J Parisi
• Brittany Jae Parkes
• Katie Parnell
• Angela J Pavey
• Pend Oreille County Counseling Services
• Pend Oreille County Counseling Services
• Pend Oreille County Fire Protection District 4
• Pend Oreille County Public Hospital District No 1
• Pend Oreille County Public Hospital District No 1

• Social Worker in Newport, WA
• Providers in Newport, WA by specialty
• Social Worker in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.