Karen A Payette, OPA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

980 Issued in TX

Practice address

9301 N Central Expy
Suite 400
Dallas, TX 75231-0806

Phone

(214) 220-2468

Fax

(214) 397-1555

NPI assigned

Sep 17, 2006

Last updated

Apr 16, 2015By 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

Other names 1

• Karen A Provence Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Interoperability endpoints

• Direct secure messaging: kprovence@direct.uspi.com

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

{
    "created_epoch": "1158451200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1429142400000",
    "number": "1881791416",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9301 N CENTRAL EXPY",
            "address_2": "SUITE 400",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752310806",
            "telephone_number": "214-220-2468",
            "fax_number": "214-397-1555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9301 N CENTRAL EXPY",
            "address_2": "SUITE 400",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752310806",
            "telephone_number": "214-220-2468",
            "fax_number": "214-397-1555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAYETTE",
        "first_name": "KAREN",
        "middle_name": "A",
        "credential": "OPA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-17",
        "last_updated": "2015-04-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "980",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KAREN",
            "last_name": "PROVENCE",
            "middle_name": "A",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Jennifer S Paxton, LCSW
• Khyessence Paxton
• Kiarash Payani, DDS, MD
• Ali Paydar, RPH
• David Payesteh, MD
• Maurice Brandon Paylor II
• Amariya A Payne, BSN,RN
• Ashleigh Richards Payne, MD
• Bonnie Grace Payne
• Brenda Payne, ACNP

• Physician Assistant in Dallas, TX
• Providers in Dallas, TX by specialty
• Physician Assistant in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2015; 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.