Active NPI
Renee M Payne, PHLEBOTOMIST
- Medical Technologist
- Fort Pierce, FL
National Provider Identifier
1932775202
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Technologist
- License
- L21000101707
- Practice address
- 2070 Colonial Rd Apt 5
Fort Pierce, FL 34950-5362 - Phone
- (772) 409-3398
- NPI assigned
- May 27, 2021
- Last updated
- May 27, 2021
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Medical Technologist | 246QM0706X | L21000101707 | FL | Primary |
Addresses
Primary practice location
2070 Colonial Rd Apt 5
Fort Pierce, FL 34950-5362
Mailing address
2070 Colonial Rd Apt 5
Fort Pierce, FL 34950-5362
Phone (772) 409-3398
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| L21000101707 | FL | MD | Medical Technologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1622073600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1622073600000",
"number": "1932775202",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2070 COLONIAL RD APT 5",
"city": "FORT PIERCE",
"state": "FL",
"postal_code": "349505362",
"telephone_number": "772-409-3398"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2070 COLONIAL RD APT 5",
"city": "FORT PIERCE",
"state": "FL",
"postal_code": "349505362",
"telephone_number": "772-409-3398"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PAYNE",
"first_name": "RENEE",
"middle_name": "M",
"credential": "PHLEBOTOMIST",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-05-27",
"last_updated": "2021-05-27",
"certification_date": "2021-05-27",
"status": "A"
},
"taxonomies": [
{
"code": "246QM0706X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Pathology, Medical Technologist",
"state": "FL",
"license": "L21000101707",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fort Pierce, FL
- Shaunetta Patrick
- Bresha Patton
- Paul B. Moll, O.D. LLC
- Paul N Gotkin & David a Gubernick DPM PA (Treasure Coast Podiatry)
- Chelsea Paulinise
- Edward Vincent Pearsaul
- Pediatric Alternative Treatment Care, Housing & Evaluation Services (Patches)
- Pediatric Alternative Treatment Care, Housing & Evaluation Services (Patches)
- Pediatric Intensivist Group LLC (Pediatric Intensivist Group- Lawnwood)
- Pediatrix Medical Group of Florida Inc
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 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.