Anna Kristin Payne, RDN | |
943 Short St, Canon City, CO 81212-4256 | |
(719) 426-1899 | |
Not Available |
Full Name | Anna Kristin Payne |
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Gender | Female |
Speciality | Dietitian, Registered |
Location | 943 Short St, Canon City, Colorado |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1003205527 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
133V00000X | Dietitian, Registered | 1094814 (Virginia) | Primary |
Provider Name | Metamorphosis Ltd |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1013324268 PECOS PAC ID: 1456573427 Enrollment ID: O20141106000603 |
Provider Name | Soco Nutrition Llc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1336731371 PECOS PAC ID: 3072928100 Enrollment ID: O20210223000179 |
Mailing Address | Practice Location Address |
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Anna Kristin Payne, RDN 427 Greenwood Ave, Canon City, CO 81212-3245 Ph: (540) 797-4128 | Anna Kristin Payne, RDN 943 Short St, Canon City, CO 81212-4256 Ph: (719) 426-1899 |
Mr. Dave Earl Egerdahl, R.D. Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1338 Phay Ave, Canon City, CO 81212 Phone: 719-285-2025 Fax: 719-285-2277 | |
Soco Nutrition, Llc Dietitian Medicare: Medicare Enrolled Practice Location: 943 Short St, Canon City, CO 81212 Phone: 719-426-1899 | |
Miriam Loomis, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1338 Phay Ave, Canon City, CO 81212 Phone: 719-285-2548 | |
Mrs. Tenisha D Tavares, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1338 Phay Ave, Canon City, CO 81212 Phone: 719-285-2025 | |
Mrs. Christine Nicole Lewis, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1338 Phay Ave, Canon City, CO 81212 Phone: 719-285-2034 Fax: 719-285-2277 |