MRS. ELIZABETH DIANE PAYNE


Address: 10821 Plantside Drive, Suite 104, Louisville, KY 40299
Phone: 5024122995

MRS. ELIZABETH DIANE PAYNE (NPI# 1700831138) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1700831138
Entity Type Individual
Full Name MRS. ELIZABETH DIANE PAYNE
Credential APRN
Practice Address 10821 Plantside Drive
Suite 104
Louisville
KY 40299
Practice Telephone 5024122995
Practice Fax Number 5024128025
Mailing Telephone 5024122995
Mailing Fax Number 5024128025
Enumeration Date 2006-05-24
Last Update Date 2011-05-18
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LA2200X Nurse Practitioner
Specialization: Adult Health
3002826 KY Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
KY ANTHEM PROV NUMBER 000000240200 01
KY PASSPORT ADVANTAGE 2444184000 01
KY AETNA PIN 7765491 01
KY PASSPORT PROV NUMBER 500028827 01
IN 201016000 05
KY 78028263 05

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1972091627 Elizabeth Anne Payne Counselor 1515 Bath St, Santa Barbara, CA 93101-3024 2018-04-27
1750891941 Elizabeth T Payne Nurse Practitioner 601 E Church St, Elmira, NY 14901-2809 2017-10-03
1154732170 Elizabeth Payne Dietitian, Registered 1100 Ne 45th St, Suite 600, Seattle, WA 98105-4683 2014-05-13
1659708592 Elizabeth Payne Case Manager/Care Coordinator 2233 Rocky Ln, Ashland, OH 44805-4701 2013-10-10
1134552029 Elizabeth Ellen Payne Physician Assistant 4069 Lake Dr Se Ste 118, Grand Rapids, MI 49546-8816 2013-08-14
1295086379 Elizabeth J Payne Physical Therapist 4624 Summerdale Dr, Pace, FL 32571-1368 2012-09-28
1982912515 Elizabeth Dover Payne Dietitian, Registered 2225 Lakeside Dr, Suite C, Lynchburg, VA 24501-6750 2010-09-16

Office Location

Street Address 10821 PLANTSIDE DRIVE
SUITE 104
City LOUISVILLE
State KY
Zip Code 40299

Providers in the same location

NPI Name Taxonomy Address Enumeration
1952349854 Sharpcare LLC Nurse Practitioner 10821 Plantside Drive, Suite 104, Louisville, KY 40299 2006-06-03

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1477050144 Jolanta Staniszewska Social Worker 1700 Cargo St, Louisville, KY 40299 2018-04-10
1780192302 Chris Mcclain Pharmacist 1901 Campus Place, Suite 100, Louisville, KY 40299 2018-01-17
1669984209 Bluegrass Allergy Asthma and Immunology Psc Internal Medicine 11900 Plantside Dr Ste 9, Louisville, KY 40299 2017-11-03
1588182109 Hollie Marie Wheeler Speech-Language Pathologist Paragon Rehabilitation 2701 Chesnut Station Court, Louisville, KY 40299 2017-09-04
1790206464 Farrah Hill Rodgers Occupational Therapy Assistant 2701 Chestnut Station Court., Paragon Rehabilitation, Louisville, KY 40299 2017-07-03
1871972620 Jag Medical LLC Pharmacy 9813 Merioneth Dr, Louisville, KY 40299 2015-05-27
1023496205 Scotty Ray Newcomer Family Medicine 8511 Watterson Trl, Louisville, KY 40299 2015-05-08
1386048262 Daniel Gerhard Eschenbach Dentist 12613 Taylorsville Rd., Suite #17, Louisville, KY 40299 2014-10-21
1740616192 Alyse C Martin Nurse Practitioner 9569 Taylorsville Road Suite 109, Louisville, KY 40299 2013-09-17
1407104128 Tammy Rowland Reddington Nurse Practitioner 4004 Hurstbroune Woods Drive, Louisville, KY 40299 2012-08-28
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Taxonomy Information

Taxonomy Code 363LA2200X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Adult Health

Taxonomy Definition

Definition to come...

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1699282988 Victoria Michelle Jones Nurse Practitioner 7004 Austinwood Rd, Louisville, KY 40214-5930 2018-01-08
1295100345 Ashley Elizabeth Summers Nurse Practitioner 701 Executive Park, Louisville, KY 40207 2015-12-01
1740608082 Margaret Hamilton Nurse Practitioner 4938 Brownsboro Rd Ste 206, Louisville, KY 40222-6385 2014-04-03
1033535828 Genesis Eldercare Physician Services LLC Nurse Practitioner 16605 Chestnut Glen Pl, Louisville, KY 40245 2014-03-17
1356778237 Rachel Keith-weiss Nurse Practitioner 580 S Preston St, Baxter II Rm 204d, Louisville, KY 40202-1756 2013-10-09
1598010852 Hollis Veronica Edwards Nurse Practitioner 550 S Jackson St Fl 1, Louisville, KY 40202 2012-07-23
1578865267 Sarah Kressy Nurse Practitioner 90 Health Park Dr Ste 320, Louisville, CO 80027-9742 2010-12-01
1780909259 Deborah Diane Knight-williams Nurse Practitioner 405 Cambridge Station Rd, Wmlnc, Louisville, KY 40223-3362 2010-03-28
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Competitor

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City LOUISVILLE
Zip Code 40299

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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