Healthcare Provider Details

I. General information

NPI: 1619138971
Provider Name (Legal Business Name): BRITTANY CANDICE PAYTON RDN, LD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/19/2008
Last Update Date: 04/21/2025
Certification Date: 04/21/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1919 E MELISSA RD UNIT 263
MELISSA TX
75454-9998
US

IV. Provider business mailing address

1919 E MELISSA RD UNIT 263
MELISSA TX
75454-9998
US

V. Phone/Fax

Practice location:
  • Phone: 917-515-4690
  • Fax:
Mailing address:
  • Phone: 917-515-4690
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code133V00000X
TaxonomyRegistered Dietitian
License NumberND141165
License Number StateFL
# 2
Primary TaxonomyY
Taxonomy Code133V00000X
TaxonomyRegistered Dietitian
License NumberDT91818
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: