Individual provider Active NPI

Sarah Marie Payne, NP-C

  • Family Nurse Practitioner
  • Overland Park, KS
National Provider Identifier
1912402785
Registry record updated Nov 30, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
78157 Issued in KS
Practice address
12290 College Blvd
Overland Park, KS 66210-4049
Phone
(866) 389-2727
NPI assigned
Mar 26, 2018
Last updated
Nov 30, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 30, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 2018007349 MO
Family Nurse Practitioner 363LF0000X 78157 KS Primary

Addresses

Primary practice location

12290 College Blvd
Overland Park, KS 66210-4049

Mailing address

12290 College Blvd
Overland Park, KS 66210-4049
Phone (866) 389-2727

Other practice location 1

27745 W 159th St
New Century, KS 66031-1130
Phone (913) 715-5947

Other practice location 2

12290 College Blvd
Overland Park, KS 66210-4049
Phone (316) 706-6375

Other practice location 3

12290 College Blvd
Overland Park, KS 66210
Phone (316) 706-6375

Other practice location 4

390 Limit St
Leavenworth, KS 66048
Phone (316) 706-6375

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)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
78157KSMDFamily Nurse Practitioner
2018007349MOMDFamily Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1522022400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1606694400000",
    "number": "1912402785",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12290 COLLEGE BLVD",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662104049",
            "telephone_number": "866-389-2727"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12290 COLLEGE BLVD",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662104049",
            "telephone_number": "866-389-2727"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "27745 W 159th St",
            "address_purpose": "LOCATION",
            "city": "New Century",
            "state": "KS",
            "postal_code": "660311130",
            "country_code": "US",
            "telephone_number": "913-715-5947",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "12290 College Blvd",
            "address_purpose": "LOCATION",
            "city": "Overland Park",
            "state": "KS",
            "postal_code": "662104049",
            "country_code": "US",
            "telephone_number": "316-706-6375",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "12290 College Blvd",
            "address_purpose": "LOCATION",
            "city": "Overland Park",
            "state": "KS",
            "postal_code": "66210",
            "country_code": "US",
            "telephone_number": "316-706-6375",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "390 Limit St",
            "address_purpose": "LOCATION",
            "city": "Leavenworth",
            "state": "KS",
            "postal_code": "66048",
            "country_code": "US",
            "telephone_number": "316-706-6375",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PAYNE",
        "first_name": "SARAH",
        "middle_name": "MARIE",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-03-26",
        "last_updated": "2020-11-30",
        "certification_date": "2020-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MO",
            "license": "2018007349",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KS",
            "license": "78157",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Overland Park, KS

Sources for this page

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

Verify at the official NPI Registry.