DR. HOLLY KATHLEEN PAYNE (NPI# 1669811873) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669811873 |
| Entity Type | Individual |
| Full Name | DR. HOLLY KATHLEEN PAYNE |
| Credential | MD |
| Practice Address |
1585 3rd St Bldg 285 Fort Polk LA 71459-5102 |
| Mailing Address |
8009 Hathaway Ln Killeen TX 76542-6699 |
| Practice Telephone | 3375314062 |
| Mailing Telephone | 3046857763 |
| Enumeration Date | 2013-06-20 |
| Last Update Date | 2020-09-03 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208D00000X | General Practice | 01074420A | IN | Allopathic & Osteopathic Physicians |
| N | 171000000X | Military Health Care Provider | 01074420A | IN | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386169357 | Holly Christine Payne | Nurse Practitioner | 2300 E County Road 540a, Lakeland, FL 33813-3825 | 2017-08-10 |
| 1063958767 | Holly Payne | Pharmacist | 261 Cooper Creek Dr, Mocksville, NC 27028-5967 | 2017-01-18 |
| 1750770194 | Holly Payne | Physician Assistant | 6151 Dew Dr, Ste. C, El Paso, TX 79912-3909 | 2015-01-22 |
| 1225399322 | Holly Denise Payne | Pediatrics | 548 Lone Oak Rd, Paducah, KY 42003-4538 | 2012-06-05 |
| 1700105103 | Holly D. Payne | Nurse Anesthetist, Certified Registered | 1035 Red Bud Rd Ne, Calhoun, GA 30701-6010 | 2010-05-25 |
| 1427172279 | Holly Gail Payne | Pediatrics | 555 E. Broadway, Suite 211, Jackson, WY 83001 | 2007-03-19 |
| Street Address |
1585 3RD ST BLDG 285 |
| City | FORT POLK |
| State | LA |
| Zip Code | 71459-5102 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356489033 | Jeffrey Lee Davis | Chiropractor | 1585 3rd St Bldg 285, Fort Polk, LA 71459 | 2007-02-02 |
| 1649879503 | Yu Hang Chen | Optometrist | 1585 3rd St Bldg 285, Fort Polk, LA 71459-5102 | 2020-10-21 |
| 1316554645 | Baynes-jones Army Community Hospital | Military/U.S. Coast Guard Pharmacy | 1585 3rd St Bldg 285, Fort Polk, LA 71459-5102 | 2020-09-30 |
| 1164932760 | Jacob Lee Cook | Physician Assistant | 1585 3rd St Bldg 285, Fort Polk, LA 71459-5102 | 2017-10-09 |
| 1447664727 | Bayne Jones Army Community Hospital | Military/U.S. Coast Guard Pharmacy | 1585 3rd St Bldg 285, Bayne Jones Army Community Hospital, Fort Polk, LA 71459-5102 | 2014-06-16 |
| 1437374709 | Jeffrey Sporer | Nurse Practitioner | 1585 3rd St Bldg 285, Fort Polk, LA 71459 | 2007-04-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952806986 | Brenda Moore | Dental Hygienist | 7223 Mississippi Ave Building 2157, Fort Polk, LA 71459 | 2018-03-30 |
| 1073017158 | Tiffany Alexander | Dental Assistant | 1561 Mississippi Ave, Ft Polk, LA 71459 | 2018-03-22 |
| 1922524529 | Keith Allan Smiley | Dentist | 7223 Mississippi Avenue Bldg. 1561, Fort Polk, LA 71459 | 2017-08-16 |
| 1336663046 | Alexis Caitlyn Stamm | Specialist/Technologist | 5644 Bazydlo Ct, Fort Polk, LA 71459 | 2017-08-03 |
| 1538615893 | Remedios Macan Dondoyano | Physical Therapist | Bayne-jones Army Community Hospital, 1585 3rd St., Attn: Pt Department, Fort Polk, LA 71459 | 2016-08-28 |
| 1306298997 | Roslyn Faulk | Dental Assistant | 7223 Mississippi Avenut, Frot Polk, LA 71459 | 2016-07-07 |
| 1346691888 | Joy Martin | Dental Hygienist | 7223 Mississippi Avenue, Fort Polk, LA 71459 | 2016-06-27 |
| 1255743936 | Aprille Boudreau | Counselor | 5513 B Gardner Dr., Fort Polk, LA 71459 | 2014-05-29 |
| 1407273170 | Mikaela Diana Mcmanus | Physician Assistant | Building 7318 C Ave G, Fort Polk, LA 71459 | 2014-03-19 |
| 1669815429 | Bayne-jones Army Community Hospital | Clinic/Center | 8103 Georgia Avenue, Bldg 3516, Ft Polk, LA 71459 | 2013-04-11 |
| Find all providers in zip 71459 | ||||
| Taxonomy Code | 208D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | General Practice |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083912828 | Mohammed Sadat Aziz | General Practice | 1585 3rd St, Fort Polk, LA 71459-5102 | 2011-03-03 |
| 1134209125 | Jesse Dunn | General Practice | 1585 3rd St, Bjach, Fort Polk, LA 71459-5102 | 2006-10-16 |
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| 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.