VICKIE PAYNE (NPI# 1821399809) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821399809 |
| Entity Type | Individual |
| Full Name | VICKIE PAYNE |
| Credential | PA-C |
| Practice Address |
4510 Bell St Amarillo TX 79109-5714 |
| Mailing Address |
Po Box 840026 Dallas TX 75284-0026 |
| Practice Telephone | 8062124835 |
| Practice Fax Number | 8062120900 |
| Mailing Telephone | 8062126965 |
| Mailing Fax Number | 8062126278 |
| Enumeration Date | 2010-11-08 |
| Last Update Date | 2017-10-04 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | PA06985 | TX | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 282515004 | 05 |
| Street Address |
4510 BELL ST |
| City | AMARILLO |
| State | TX |
| Zip Code | 79109-5714 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871591909 | Michael Dee Flores | Family Medicine | 4510 Bell St, Amarillo, TX 79109-5714 | 2005-07-12 |
| 1477028637 | Trevor Poire | Nurse Practitioner | 4510 Bell St, Amarillo, TX 79109-5714 | 2018-10-03 |
| 1023531191 | Kevin Dwayne Fleming | Nurse Practitioner | 4510 Bell St, Amarillo, TX 79109-5714 | 2017-07-20 |
| 1578921847 | Daniel Kern | Nurse Practitioner | 4510 Bell St, Amarillo, TX 79109-5714 | 2016-02-02 |
| 1932579554 | Brittany Rhea Sessions | Registered Nurse | 4510 Bell St, Amarillo, TX 79109-5714 | 2015-09-26 |
| 1811337439 | Dorian R Matzen | Family Medicine | 4510 Bell St, Amarillo, TX 79109-5714 | 2013-06-27 |
| 1144668765 | Bsa Physicians Group Inc | Family Medicine | 4510 Bell St, Amarillo, TX 79109-5714 | 2013-06-05 |
| 1881999340 | Timothy H. Bixenman Jr. | Nurse Practitioner | 4510 Bell St, Amarillo, TX 79109-5714 | 2011-01-13 |
| 1629389234 | Kristen M Rice | Physician Assistant | 4510 Bell St, Amarillo, TX 79109-5714 | 2010-06-29 |
| 1275865255 | Lezlie Harris | Nurse Practitioner | 4510 Bell St, Amarillo, TX 79109-5714 | 2010-02-02 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003455098 | Pamela Dawn George | Counselor | 3807 S. Virginia, Amarillo, TX 79109 | 2019-12-23 |
| 1083251318 | Raeann Mask | Massage Therapist | 3501 W. 45th St, Suite T, Amarillo, TX 79109 | 2019-12-05 |
| 1962044941 | Donna Raef Kizziar | Nurse Practitioner | Bsa Urgent Care Clinic, 4510 Bell St., Amarillo, TX 79109 | 2019-10-11 |
| 1730734971 | Suzanne Marie Needham | Speech-Language Pathologist | 49112 Matador, Amarillo, TX 79109 | 2019-08-05 |
| 1477108686 | Danielle Denee' Coleman | Pharmacy Technician | 5807 Sw 45th Ave, Ste 100, Amarillo, TX 79109 | 2019-08-05 |
| 1245795780 | Monica Favela Prieto | Nurse Practitioner | Bsa Urgent Care Clinc, 4510 Bell St., Amarillo, TX 79109 | 2019-02-08 |
| 1598266439 | Catherine Cheyenne Wills | Behavior Technician | 6031 Bell Street, Amarillo, TX 79109 | 2018-02-26 |
| 1053828038 | Anisa Ann Rodriguez-espinoza | Behavior Technician | 6031 Bell, Amarillo, TX 79109 | 2017-12-29 |
| 1336656313 | Johnny Thomas Johansen | Behavior Technician | 6031 Bell St., Amarillo, TX 79109 | 2017-12-29 |
| 1821535683 | Daniel & Max, LLC | Optometrist | 3501 West I-40, Suite A, Amarillo, TX 79109 | 2017-01-31 |
| Find all providers in zip 79109 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992316202 | Alexa Renee Wingo | Physician Assistant | 8200 Zachary Pl, Amarillo, TX 79119-7353 | 2020-08-11 |
| 1528626017 | Rozlyn Austin | Physician Assistant | 2204 S Ong St, Amarillo, TX 79109-2247 | 2019-05-30 |
| 1144745720 | Valerie Renee Neitsch | Physician Assistant | 5040 S Coulter St Apt 510, Amarillo, TX 79119-5423 | 2017-08-04 |
| 1942572219 | Jessica Hanson Berg | Physician Assistant | 808 S Buchanan St, Amarillo, TX 79101-3604 | 2012-02-02 |
| 1447568589 | Kelly L Linley | Physician Assistant | 2707 S Van Buren St, Amarillo, TX 79109-2535 | 2010-09-23 |
| 1578756771 | Fmc Clinics, P.a. | Physician Assistant | 5807 Sw 45th Avenue, Suite 100, Amarillo, TX 79109-5205 | 2007-08-21 |
| 1013040914 | Melinda Sue Schock | Physician Assistant | 1215 S Coulter St Ste 101, Amarillo, TX 79106-1761 | 2007-03-13 |
| 1639189970 | Rose G Omamogho | Physician Assistant | 1500 S Coulter St Ste 6, Amarillo, TX 79106-1790 | 2006-08-09 |
| 1649205972 | Fmc Medical Foundation, Inc. | Physician Assistant | 1500 S. Coulter, Suite 6, Amarillo, TX 79106-1790 | 2006-07-12 |
| 1225646409 | Kiranmayi Navaneethakrishnan | Physician Assistant | 1901 Medi Park Dr Ste 2001, Amarillo, TX 79106-2108 | 2020-07-14 |
| Find all providers in AMARILLO | ||||
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| 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.