MEDICARE: LINDA PAYNE NP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LP0200X	Pediatric Nurse Practitioner	430443	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1538116462
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LINDA PAYNE NP

Provider Business Mailing Address
First Line	:	12221 MOPAC EXPRESSWAY NORTH
Second Line	:
City	:	AUSTIN
State	:	TX
Zip	:	78758-2483
Country	:	US
Telephone Number	:	512-460-3404
Fax Number	:	512-440-0747

Provider Business Practice Location Address
First Line	:	4315 JAMES CASEY ST
Second Line	:
City	:	AUSTIN
State	:	TX
Zip	:	78745-3365
Country	:	US
Telephone Number	:	512-460-3404
Fax Number	:	512-460-3412

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/27/2006
Last Update Date	:	03/29/2026

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Directions to “ LINDA PAYNE NP” Practice Location

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