NICOLE LYNN PAYNE (NPI# 1851575138) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1851575138 |
| Entity Type | Individual |
| Full Name | NICOLE LYNN PAYNE |
| Credential | CFNP |
| Practice Address |
3451 Goodman Rd E Suite 115 Southaven MS 38672-9303 |
| Mailing Address |
4631 Stone Park Blvd Olive Branch MS 38654-6983 |
| Practice Telephone | 6628905555 |
| Practice Fax Number | 6628908899 |
| Mailing Telephone | 6628733467 |
| Enumeration Date | 2007-12-23 |
| Last Update Date | 2012-08-29 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
R870070 | MS | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477712453 | Nicole Marie Payne | Emergency Medicine | 3000 Arlington Blvd, University of Toledo Medical Center-emergency Medicine, Toledo, OH 43614 | 2008-06-05 |
| 1154934966 | Nicole Payne | Pharmacist | 2411 Landmark Dr, Raleigh, NC 27607-6524 | 2020-08-31 |
| 1477161016 | Nicole Payne | Counselor | 11015 Bloomfield Ave, Santa Fe Springs, CA 90670-4601 | 2020-07-20 |
| 1366950685 | Nicole Maria Payne | Nurse Practitioner | 3000 Medical Park Dr Ste 300, Tampa, FL 33613 | 2018-01-22 |
| 1902336761 | Nicole Lynn Payne | Nurse Practitioner | 5398 Park St N, St Petersburg, FL 33709-1041 | 2017-06-14 |
| 1518490838 | Nicole Denise Payne | Counselor | 245 Pitkin St, Detroit, MI 48203-3737 | 2017-04-04 |
| 1780018036 | Nicole C Payne | Audiologist | 1020 Professional Blvd, Evansville, IN 47714-8009 | 2013-08-22 |
| 1609116839 | Nicole Kimberly Payne | Social Worker | 2960 Rodeo Park Dr W, Santa Fe, NM 87505-6351 | 2013-02-25 |
| 1750634028 | Nicole Payne | Hearing Instrument Specialist | 555 E Genesee St, Lapeer, MI 48446-4611 | 2012-10-23 |
| 1992002190 | Nicole Bradley Payne | Physician Assistant | 3333 Silas Creek Pkwy, Winston Salem, NC 27103-3013 | 2011-02-24 |
| Street Address |
3451 GOODMAN RD E SUITE 115 |
| City | SOUTHAVEN |
| State | MS |
| Zip Code | 38672-9303 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295735454 | Teresa L Fritts | Emergency Medicine | 3451 Goodman Rd E, Suite 115, Southaven, MS 38672-9303 | 2005-07-28 |
| 1205282704 | Elizabeth Dycus | Physical Therapist | 3451 Goodman Rd E, Suite 108, Southaven, MS 38672-9303 | 2016-05-13 |
| 1487053948 | Brooke E. Schuppan | Physical Therapist | 3451 Goodman Rd E, Suite 108, Southaven, MS 38672-9303 | 2014-08-20 |
| 1013323369 | Agilitas Usa Inc. | Clinic/Center | 3451 Goodman Rd E, Suite 108, Southaven, MS 38672-9303 | 2014-07-08 |
| 1578816575 | Casey Nester | Nurse Practitioner | 3451 Goodman Rd E, Suite 115, Southaven, MS 38672-9303 | 2012-10-16 |
| 1386964765 | Agilitas Usa, Inc | Clinic/Center | 3451 Goodman Rd E, Ste 110, Southaven, MS 38672-9303 | 2010-06-08 |
| 1780917443 | Tracey L Mays | Nurse Practitioner | 3451 Goodman Rd E, Suite 115, Southaven, MS 38672-9303 | 2009-09-14 |
| 1831140508 | Beverly P. Weaver | Nurse Practitioner | 3451 Goodman Rd E, Ste 115, Southaven, MS 38672-9303 | 2006-05-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871100826 | Sarah Kathryn Pratt | Physical Therapist | 5271 Getwell Road, Suite A, Southaven, MS 38672 | 2020-09-24 |
| 1356713606 | Deadra Dennis | Behavioral Analyst | 2816 Calico Rock Cv, Southaven, MS 38672 | 2015-10-27 |
| 1568727352 | Patricia Leanne Lewis | Family Medicine | 5908 Getwell Rd, Southaven, MS 38672 | 2012-07-09 |
| 1417183922 | Mississippi Cvs Pharmacy, L.L.C. | Durable Medical Equipment & Medical Supplies | 2945 Goodman Road East, Southaven, MS 38672 | 2009-06-10 |
| 1568609998 | Susan Orsland | Physical Therapist | 4355 Genevieve Drive, Southaven, MS 38672 | 2009-01-07 |
| 1659516524 | Stacy L Sanders | Audiologist | 5740 Getwell Rd. Building 3 Unit B, Southaven, MS 38672 | 2008-12-08 |
| 1295927226 | Tracey F Petrides | Family Medicine | 5779 Getwell Road, Building D, Suite 3, Southaven, MS 38672 | 2007-08-14 |
| 1538288741 | Bruce A Denney | Dentist | 7125 Getwell Road, Suite 102, Southaven, MS 38672 | 2007-03-28 |
| 1154480150 | Kimberly Marie Metcalf | Social Worker | 7165-g Getwell Rd., Southaven, MS 38672 | 2006-12-06 |
| 1346318441 | Deborah Verucchi | Nurse Practitioner | 5740 Getwell Rd Ste B, Southaven, MS 38672 | 2006-11-30 |
| Find all providers in zip 38672 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922615616 | Jack Chandler Papa | Nurse Practitioner | 3556 May Brook Cv, Southaven, MS 38672-1006 | 2020-09-26 |
| 1518583129 | Susan E Mccullough | Nurse Practitioner | 5932 Antler Trl, Southaven, MS 38672-6511 | 2020-06-19 |
| 1336764778 | Raquel Janay Reed-washington | Nurse Practitioner | 3548 Herbert Cv, Southaven, MS 38672-2003 | 2020-06-11 |
| 1104452887 | Vincent Lee Spinosa-parker | Nurse Practitioner | 5056 Maiden Lane Cv, Southaven, MS 38672-6000 | 2020-03-13 |
| 1215438437 | Alba Laura Emerson | Nurse Practitioner | 1862 Lindsey Ln, Southaven, MS 38672-8602 | 2018-02-22 |
| 1629583026 | Lachasity Kimmons | Nurse Practitioner | 2032 Audubon Pl, Southaven, MS 38672-9440 | 2017-12-06 |
| 1124322474 | Ageless Men's Health, LLC | Nurse Practitioner | 7111 Southcrest Pkwy, Suite 109, Southaven, MS 38671-4850 | 2010-12-30 |
| 1487757365 | Regina G Seaton | Nurse Practitioner | 7676 Airways Blvd, Southaven, MS 38671-5304 | 2006-09-06 |
| 1063465482 | Misty Ann Moore | Nurse Practitioner | 7585 Clarington Cove, Southaven, MS 38671-2300 | 2006-05-18 |
| 1184602450 | Tammy Louise Carnahan | Nurse Practitioner | 7900 Airways Blvd, Building A Suite 6, Southaven, MS 38671-4113 | 2006-01-05 |
| Find all providers in SOUTHAVEN | ||||
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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.