Healthcare Provider Details

I. General information

NPI: 1184041170
Provider Name (Legal Business Name): NATASHA PAYNE-JAMES NP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/27/2014
Last Update Date: 06/18/2026
Certification Date: 06/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

12070 OLD LINE CTR STE 303
WALDORF MD
20602-3535
US

IV. Provider business mailing address

3355 LANCER CT
DUNKIRK MD
20754-2936
US

V. Phone/Fax

Practice location:
  • Phone: 301-645-5100
  • Fax:
Mailing address:
  • Phone: 646-359-6088
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberR259658
License Number StateMD
# 2
Primary TaxonomyN
Taxonomy Code163WH0200X
TaxonomyHome Health Registered Nurse
License Number656365
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: