BONNIE CORALIE PAYNE (NPI# 1902356280) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902356280 |
| Entity Type | Individual |
| Full Name | BONNIE CORALIE PAYNE |
| Credential | P.A.- C |
| Practice Address |
201 S 4th Ave Phoenix AZ 85003-2138 |
| Mailing Address |
234 N Central Ave Ste 5000 Phoenix AZ 85004-2228 |
| Practice Telephone | 6028764636 |
| Mailing Telephone | 6025062906 |
| Enumeration Date | 2016-10-10 |
| Last Update Date | 2016-10-10 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
6482 | AZ | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649764408 | Bonnie Grace Payne | Speech-Language Pathologist | 9900 N Central Expy Ste 225, Dallas, TX 75231-0918 | 2018-06-15 |
| 1235288085 | Bonnie Ann Payne | Psychologist | 700 W Parr Ave, Suite K, Los Gatos, CA 95032-1442 | 2007-01-10 |
| Street Address |
201 S 4TH AVE |
| City | PHOENIX |
| State | AZ |
| Zip Code | 85003-2138 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144493719 | Rachel Nechtman | Physician Assistant | 201 S 4th Ave, Phoenix, AZ 85003-2138 | 2008-04-03 |
| 1104391382 | Bindu Kanaka | Registered Nurse | 201 S 4th Ave, Phoenix, AZ 85003-2138 | 2018-10-03 |
| 1841643277 | Lillian L Espinoza | Social Worker | 201 S 4th Ave, Phoenix, AZ 85003-2138 | 2016-07-21 |
| 1346692290 | Amy Elizabeth Rust | Specialist/Technologist | 201 S 4th Ave, Phoenix, AZ 85003-2138 | 2016-07-04 |
| 1265839013 | Kaylan Marie Luber | Physician Assistant | 201 S 4th Ave, Phoenix, AZ 85003-2138 | 2014-11-21 |
| 1124462759 | Megan K Viall | Counselor | 201 S 4th Ave, Phoenix, AZ 85003-2138 | 2013-04-25 |
| 1861741480 | Jeanne Lynn Peterson | Physician Assistant | 201 S 4th Ave, Intake Provider, Phoenix, AZ 85003-2138 | 2012-08-29 |
| 1619138088 | Richard David Friedman | Internal Medicine | 201 S 4th Ave, Phoenix, AZ 85003-2138 | 2008-06-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518504406 | Jennifer A Day | Counselor | 125 South Avenue, Phoenix, AZ 85003 | 2019-12-10 |
| 1588148993 | Jillian Ralston | Optometrist | 112 W Mcdowell Road, Phoenix, AZ 85003 | 2018-09-20 |
| 1699254839 | Corner Pharmacy Incorporated | Pharmacy | 112 N 5th Ave Ste 101, Phoenix, AZ 85003 | 2018-08-08 |
| 1003279043 | Kimberly Brown | Technician, Other | 609 N 2nd Aveunue, 200, Phoenix, AZ 85003 | 2016-03-29 |
| 1548678626 | Douglas Barshter | Technician, Other | 602 N 2nd Avenue, Phoenix, AZ 85003 | 2014-08-01 |
| 1346655099 | Benjamin Heller | Family Medicine | 515 W Buckeye Rd Ste 104, Phoenix, AZ 85003 | 2014-06-20 |
| 1225383201 | Charles S Bell | Counselor | 609 North 2nd Ave., Phoenix, AZ 85003 | 2012-07-17 |
| 1790004133 | Arizona Cvs Stores, L.L.C. | Durable Medical Equipment & Medical Supplies | 50 W. Jefferson St., Suite 140, Phoenix, AZ 85003 | 2010-05-25 |
| 1184806960 | Word Play, LLC | Home Health | 808 N 4th Ave Unit 12, Phoenix, AZ 85003 | 2007-12-03 |
| 1609067842 | Salim Shafi | Dentist | 125 W Mcdowell Road, Phoenix, AZ 85003 | 2007-08-05 |
| Find all providers in zip 85003 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073121505 | Alexandra R Koolmees | Physician Assistant | 1141 E Village Circle Dr S, Phoenix, AZ 85022-4818 | 2020-07-21 |
| 1568080620 | Manuel Gerardo Pompa | Physician Assistant | 3848 N 3rd Ave Unit 3071, Phoenix, AZ 85013-3472 | 2020-07-06 |
| 1659848208 | Pacific Dental Services Foundation | Physician Assistant | 4559 E. Bell Road, Ste 106, Phoenix, AZ 85032 | 2018-10-31 |
| 1124502372 | Amanda Rose Jones | Physician Assistant | 36427 N 14th St, Phoenix, AZ 85086-7506 | 2018-09-23 |
| 1639681745 | Martha Lopez | Physician Assistant | 7010 E Chauncey Ln Ste 210, Phoenix, AZ 85054-3115 | 2017-10-30 |
| 1386153674 | Emily Meredith Eoff | Physician Assistant | 301 W Pasadena Ave Apt 4, Phoenix, AZ 85013-2342 | 2017-09-29 |
| 1659890754 | Greg Horn | Physician Assistant | 20333 N 19th Ave Ste 230, Phoenix, AZ 85027-9901 | 2017-09-11 |
| 1619407269 | Integrative Natural Medicine | Physician Assistant | 2025 E Campbell Ave, #259, Phoenix, AZ 85016-8501 | 2017-06-15 |
| 1174996870 | Jyoti Sharma | Physician Assistant | 13838 S 46th Pl Ste 120, Phoenix, AZ 85044-7801 | 2015-11-04 |
| 1487025086 | Shaye Harrel | Physician Assistant | 9305 W Thomas Rd Ste 478, Phoenix, AZ 85037-3375 | 2015-10-08 |
| Find all providers in PHOENIX | ||||
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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.