Active NPI
Willie Payne
- Prosthetics Case Management
- Baton Rouge, LA
National Provider Identifier
1992244107
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Prosthetics Case Management
- License
- 44892
- Practice address
- 10782 N Harrells Ferry Rd Ste a
Baton Rouge, LA 70816-8227 - Phone
- (225) 346-1700
- NPI assigned
- Feb 21, 2017
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Prosthetics Case Management | 1744P3200X | 44892 | LA | Primary |
Addresses
Primary practice location
10782 N Harrells Ferry Rd Ste a
Baton Rouge, LA 70816-8227
Mailing address
17253 Deer Lake Ave
Baton Rouge, LA 70816-1715
Phone (225) 337-9791
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 |
|---|---|---|---|
| 44892 | LA | MD | Prosthetics Case Management |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1487635200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1487635200000",
"number": "1992244107",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "17253 DEER LAKE AVE",
"city": "BATON ROUGE",
"state": "LA",
"postal_code": "708161715",
"telephone_number": "225-337-9791"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10782 N HARRELLS FERRY RD STE A",
"city": "BATON ROUGE",
"state": "LA",
"postal_code": "708168227",
"telephone_number": "225-346-1700"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PAYNE",
"first_name": "WILLIE",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2017-02-21",
"last_updated": "2017-02-21",
"status": "A"
},
"taxonomies": [
{
"code": "1744P3200X",
"taxonomy_group": "",
"desc": "Specialist, Prosthetics Case Management",
"state": "LA",
"license": "44892",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Baton Rouge, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.