ILLYA PAYNE
NPI 1164879904
Nurse Practitioner - Family in Elkridge, MD

Active since May 23, 2016
6095 MARSHALEE DR, ELKRIDGE, MD 21075(855) 247-8474 Get Directions Write a Review

NPPES record last updated: May 23, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Illya Payne NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ILLYA PAYNE (NPI 1164879904) is an individual family provider in Elkridge, Maryland, licensed in Missouri (2015027443) and active in the NPI registry since May 2016.

NPPES Registry Identity

NPI1164879904
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameILLYA PAYNE
Location Address6095 MARSHALEE DRElkridge, MD 21075-6053
Mailing Address6095 Marshalee DrElkridge, MD 21075-6053
Sole ProprietorYes
Enumeration DateMay 23, 2016
NPI 1164879904 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
Licenses Licensed in MO · 2015027443 Licensed in SC · 20164
6095 MARSHALEE DR, Elkridge, MD 21075

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Practitioner (Adult Health)
6095 MARSHALEE DR
ELKRIDGE, MD 21075
Nurse Practitioner (Primary Care)
6095 MARSHALEE DR
ELKRIDGE, MD 21075
Nurse Practitioner (Primary Care)
6095 MARSHALEE DR, UNITED HEALTH GROUP/OPTUM
ELKRIDGE, MD 21075
Nurse Practitioner (Family)
6095 MARSHALEE DR, SUITE 100
ELKRIDGE, MD 21075
Nurse Practitioner (Gerontology)
6095 MARSHALEE DR
ELKRIDGE, MD 21075
Hospice Care, Community Based
6095 MARSHALEE DR
ELKRIDGE, MD 21075
Nurse Practitioner (Family)
6095 MARSHALEE DR
ELKRIDGE, MD 21075
Nurse Practitioner (Family)
6095 MARSHALEE DR
ELKRIDGE, MD 21075

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Illya Payne's NPI number?

The NPI number for Illya Payne is 1164879904. It was assigned to this individual provider in the NPPES registry on May 23, 2016.

Where is Illya Payne located?

Illya Payne practices at 6095 Marshalee Dr, Elkridge, MD 21075. The listed phone number is (855) 247-8474.

What is Illya Payne's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Illya Payne was last updated on May 23, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.