CARLA S PAYNE (NPI# 1063771962) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063771962 |
| Entity Type | Individual |
| Full Name | CARLA S PAYNE |
| Credential | RN, FNP |
| Practice Address |
360 S Madison Ave Suite 100 Greenwood IN 46142-3117 |
| Mailing Address |
6626 E 75th St Suite 500 Indianapolis IN 46250-2805 |
| Practice Telephone | 3178818248 |
| Practice Fax Number | 3178858216 |
| Enumeration Date | 2012-05-11 |
| Last Update Date | 2019-07-02 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163W00000X | Registered Nurse | 28160871A | IN | Nursing Service Providers |
| N | 363LF0000X |
Nurse Practitioner Specialization: Family |
71004088A | IN | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363LP2300X |
Nurse Practitioner Specialization: Primary Care |
71004088A | IN | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | 201085440 | 05 | |
| IN | ANTHEM | 000000791892 | 01 |
| IN | AETNA | 9360882 | 01 |
| IN | ANTHEM | 000000779844 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073098653 | Carla Ann Payne | Case Management | 899 Hunt St, Akron, OH 44306-2309 | 2018-09-28 |
| 1841741865 | Carla Payne | Registered Nurse | 2900 4th Ave N, Billings, MT 59101-1266 | 2016-10-14 |
| 1730359159 | Carla Marie Payne | Counselor | 3940 Home Ave, San Diego, CA 92105-5952 | 2008-03-03 |
| Street Address |
360 S MADISON AVE SUITE 100 |
| City | GREENWOOD |
| State | IN |
| Zip Code | 46142-3117 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952357667 | Brenda P Viegas | Pediatrics | 360 S Madison Ave, # 210, Greenwood, IN 46142-3150 | 2006-05-25 |
| 1619261336 | Greenwood Physicians Associates LLP | Family Medicine | 360 S Madison Ave, Suite 100, Greenwood, IN 46142-3117 | 2011-05-31 |
| 1871618082 | Rehabilitation Options of Indiana | Marriage & Family Therapist | 360 S Madison Ave, 205, Greenwood, IN 46142-3150 | 2007-03-20 |
| 1790886844 | Grand Old Docs of The Southside | Family Medicine | 360 S Madison Ave, #200, Greenwood, IN 46142-3150 | 2006-09-25 |
| 1457377749 | Community Hospitals of Indiana Inc | Family Medicine | 360 S Madison Ave, Suite 100, Greenwood, IN 46142-3117 | 2006-07-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093330979 | Renee Francine Jones | Nurse Practitioner | 698 Oldfield Commons Dr, Greenwood, IN 46142 | 2020-06-16 |
| 1164046876 | Top Dental Care LLC | Dentist | 41 N. Madison Ave, Greenwood, IN 46142 | 2020-05-29 |
| 1467956201 | Gerth Counseling | Social Worker | 386 Meridian Parke Lane, Suit B, Greenwood, IN 46142 | 2018-03-19 |
| 1588019988 | Jessica Lynn Osborne | Speech-Language Pathologist | 1701 Library Park Blvd, Greenwood, IN 46142 | 2016-05-04 |
| 1417301359 | John Thomas Ferguson Jr. | Marriage & Family Therapist | 3209 W Smith Valley Road, #225, Indianapolis, IN 46142 | 2016-04-18 |
| 1982065132 | Linda Barnes | Occupational Therapist | 124 Hawthorne Lane, Greenwood, IN 46142 | 2016-03-16 |
| 1346611688 | Elisha Cain | Optometrist | 1298 Us-31, Greenwood, IN 46142 | 2015-10-13 |
| 1801158456 | Frank William Fortuna | Family Medicine | 461 Camby Court, Greenwood, IN 46142 | 2012-06-11 |
| 1164708202 | Greenwood Family Chiropractic, LLC | Chiropractor | 520 N Sr 135, Suite R, Greenwood, IN 46142 | 2011-11-02 |
| 1447536586 | Leanne Nicole Schlueter | Chiropractor | 520 North Sr 135, Suite R, Greenwood, IN 46142 | 2011-11-02 |
| Find all providers in zip 46142 | ||||
| Taxonomy Code | 363LP2300X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Primary Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033737069 | Housecalls/optum for United Health Group | Nurse Practitioner | 518 Euclid Ave, Greenwood, IN 46142-3618 | 2020-07-07 |
| 1679991129 | Annette Jennings Caldwell | Nurse Practitioner | 3971 Sylvania Plantation Road, Greenwood, FL 32443-0017 | 2014-04-02 |
| 1598327496 | Stephanie Powers Mccall | Nurse Practitioner | 421 Epting Ave, Greenwood, SC 29646-4041 | 2019-07-01 |
| 1376999516 | Jennifer Cothron | Nurse Practitioner | 333 E County Line Rd, Greenwood, IN 46143-1079 | 2016-05-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942809140 | Indiana Suburban Visiting Physician Services | Nurse Practitioner | 5 Washington St Ste 300, Valparaiso, IN 46383-4769 | 2020-10-20 |
| 1497382030 | Toya Jamillah Woods | Nurse Practitioner | 3814 Grant St, Gary, IN 46408-2150 | 2020-03-24 |
| 1558905554 | Amy Hueston | Nurse Practitioner | 313 S Berkley Rd, Kokomo, IN 46901-5114 | 2019-11-01 |
| 1891338166 | Jayme Lantz | Nurse Practitioner | 20085 Turquoise Ln, Goshen, IN 46528-6294 | 2019-10-19 |
| 1033761770 | Workplace Health Services | Nurse Practitioner | 1632 W. In-28, Frankfort, IN 46041 | 2019-07-12 |
| 1164984597 | Care At Home LLC | Nurse Practitioner | 717 Washington Park Blvd, Michigan City, IN 46360-2056 | 2019-04-04 |
| 1255815379 | Amanda Kay Goins | Nurse Practitioner | 3919 W Jefferson Blvd Ste B, Fort Wayne, IN 46804-6811 | 2018-09-25 |
| 1972084267 | Kelly Sue Ann Peasley | Nurse Practitioner | 2101 Jackson St Ste 8, Anderson, IN 46016-4341 | 2018-08-24 |
| 1891271466 | Hilton Health Housecall LLC | Nurse Practitioner | 4340 Trace Wood Dr, Indianapolis, IN 46254-6238 | 2018-07-17 |
| 1235634221 | Laura D Cannon | Nurse Practitioner | 6375 U S Hwy 6, Portage, IN 46368-5218 | 2018-03-29 |
| Find all providers with the same taxonomy | ||||
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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.