AUDRA ARLENE PAYNE (NPI# 1457539587) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457539587 |
| Entity Type | Individual |
| Full Name | AUDRA ARLENE PAYNE |
| Other Name | AUDRA PAYNE BLOOMER |
| Credential | CMSSW |
| Practice Address |
26 Midway St Bristol TN 37620-1706 |
| Mailing Address |
Po Box 9054 Gray TN 37615-9054 |
| Practice Telephone | 4239894500 |
| Practice Fax Number | 4239894585 |
| Mailing Telephone | 4234673600 |
| Mailing Fax Number | 4234673644 |
| Enumeration Date | 2008-01-31 |
| Last Update Date | 2008-01-31 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101Y00000X | Counselor | CMSW 6388 | TN | Behavioral Health & Social Service Providers |
| Street Address |
26 MIDWAY ST |
| City | BRISTOL |
| State | TN |
| Zip Code | 37620-1706 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235125162 | Cathy M Gowan | Nurse Practitioner | 26 Midway St, Bristol, TN 37620-1706 | 2005-09-26 |
| 1588279129 | Teresa A Fleming | Counselor | 26 Midway St, Bristol, TN 37620-1706 | 2020-09-10 |
| 1467003210 | Maranda D. Conner | Counselor | 26 Midway St, Bristol, TN 37620-1706 | 2019-09-24 |
| 1346746120 | Carlyn Marie Conley | Case Manager/Care Coordinator | 26 Midway St, Bristol, TN 37620-1706 | 2018-04-02 |
| 1851895510 | Rhonda Noelle Grimes | Counselor | 26 Midway St, Bristol, TN 37620-1706 | 2018-03-19 |
| 1780066241 | Melinda Cox | Licensed Practical Nurse | 26 Midway St, Bristol, TN 37620-1706 | 2015-06-22 |
| 1831501097 | Tracy Boling | Counselor | 26 Midway St, Bristol, TN 37620 | 2014-05-22 |
| 1134557010 | Karen Davidson | Licensed Practical Nurse | 26 Midway St, Bristol, TN 37620-1706 | 2013-10-31 |
| 1053744607 | Kimberly Knight | Case Manager/Care Coordinator | 26 Midway St, Bristol, TN 37620-1706 | 2013-08-19 |
| 1366874901 | Jonathan David Hunt | Case Manager/Care Coordinator | 26 Midway St, Bristol, TN 37620-1706 | 2013-08-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376180216 | Firstep, LLC | Psychiatry & Neurology | 3183 W. State St., Suite 1201, Bristol, TN 37620 | 2019-12-10 |
| 1578047726 | Amanda Harville Mcgrady | Psychologist | 105 Walnut Circle, Bristol, TN 37620 | 2018-09-23 |
| 1467932533 | Teresa Mooney | Nurse Practitioner | 324 Leslie Ct, Bristol, TN 37620 | 2018-08-17 |
| 1992285308 | Jeremy Aurbrey Blanzy | Nurse Practitioner | 1 Medical Park Boulevard, Suite 400e, Bristol, TN 37620 | 2018-08-15 |
| 1255841805 | Amanda L Pillion | Audiologist | 225 Midway Medical Park, Bristol, VA 37620 | 2017-10-10 |
| 1841717717 | Joel Blevins | Driver | 301 Webb Ct, Bristol, TN 37620 | 2017-08-23 |
| 1831579796 | Dr. Marie Crawford, Ph.d., Pllc | Psychologist | 739 Bluff City Highway, Suite 5, Bristol, TN 37620 | 2015-06-05 |
| 1508297169 | Cassandra Marie Conry | Chiropractor | 800 Hill St., Bristol, TN 37620 | 2013-12-09 |
| 1780025874 | Laura Leann Lawson-renfro | Nurse Practitioner | 260 Midway St, Bristol, TN 37620 | 2013-07-17 |
| 1760822365 | Ricky Bhimani | Internal Medicine | 208 Medical Park Boulevard, Bristol, TN 37620 | 2013-06-27 |
| Find all providers in zip 37620 | ||||
| Taxonomy Code | 101Y00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master’s degree and clinical experience and supervision for licensure or certification. |
| Notes: Sources: Abridged from definitions provided by the National Board of Certified Counselors and the American Association of Pastoral Counselors. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679109219 | Jessica Spar | Counselor | 40 Sand Hill Rd, Bristol, CT 06010-2932 | 2020-03-16 |
| 1043661481 | Edmond Mekie Rambal | Counselor | 1405 Veterans Hwy Apt G6, Bristol, PA 19007-2319 | 2016-06-27 |
| 1376961607 | Claudia Deforest | Counselor | 5 Shore Rd, Bristol, RI 02809-1325 | 2014-04-03 |
| 1922362276 | Megan R Loving | Counselor | 402 Bluff City Hwy, Apt 313, Bristol, TN 37620-4612 | 2012-07-02 |
| 1114236775 | Melissa Ann Ortiz | Counselor | 62 Mills St, Bristol, CT 06010-4940 | 2010-09-30 |
| 1265694517 | Hilary Musgrove | Counselor | 628 Rose St, Bristol, TN 37620-2328 | 2008-06-27 |
| 1134309438 | Keystone Djj, LLC | Counselor | 12422 Nw G T Revell Rd, Bristol, FL 32321-3007 | 2007-11-05 |
| 1811025026 | Ronald N. Mancini and Associates | Counselor | 970 Hope St Unit 5, Bristol, RI 02809-5210 | 2007-03-01 |
| 1669570164 | Maureen Ann Consiglio | Counselor | 188 Melinda Ln, Bristol, CT 06010 | 2006-09-20 |
| 1669578886 | Holston Um Home for Children | Counselor | 300 Moore St Ste A, Bristol, VA 24201-4337 | 2006-09-15 |
| Find all providers in BRISTOL | ||||
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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.