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NPI Code Detail

MEDICARE: PAYTON SYMONE REA MS, RDN, LD

MEDICARE: PAYTON SYMONE REA MS, RDN, LD
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
1133V00000XRegistered DietitianDN008499PA

General Provider Information

NPI Number : 1972453082
Entity Type Code : Individual
Provider Name (Legal Business Name) : PAYTON SYMONE REA MS, RDN, LD
Provider Business Mailing Address
First Line : 317 KRAMER WAY
Second Line :
City : PITTSBURGH
State : PA
Zip : 15211-2007
Country : US
Telephone Number : 330-907-8907
Fax Number :
Provider Business Practice Location Address
First Line : 5230 CENTRE AVE
Second Line :
City : PITTSBURGH
State : PA
Zip : 15232-1304
Country : US
Telephone Number : 330-907-8907
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/29/2026
Last Update Date : 01/29/2026

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