Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
SAMUEL DUSTIN PAYNE
Active Sole ProprietorSAMUEL DUSTIN PAYNE is a Case Management Agency healthcare provider located in IDAHO FALLS, Idaho. NPI 1023902533 is currently active in the NPPES registry. Verify at CMS.
Case Management Agency · IDAHO FALLS, ID
Registration Details
- NPI Number
- 1023902533
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 7, 2025 (1.1568577725383 yrs)
- Last Updated
- Jun 7, 2025
- Sole Proprietor
- Yes
Practice Information
- Address
-
1820 E 17TH ST STE 330IDAHO FALLS, ID, 834046400Browse ID providers · Browse ZIP 83404
- Phone
- 2084970685
- Primary Specialty
-
Case Management Agency
251B00000X
Other Case Management Agency Providers in IDAHO FALLS, ID
| Name | Credential | NPI |
|---|---|---|
| KYLE HILDRETH | BA | 1750717609 |
| KIMBERLY MUHLESTEIN | — | 1376419218 |
| TAYLOR BONNING | BS | 1235007592 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.