MEDICARE: VICTORIA PAYTON MS, RD, 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
1	133VN1004X	Pediatric Nutrition Registered Dietitian	LD005344	GA

General Provider Information

NPI Number	:	1144862749
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	VICTORIA PAYTON MS, RD, LD

Provider Business Mailing Address
First Line	:	1824 DEFOOR AVE NW APT 5203
Second Line	:
City	:	ATLANTA
State	:	GA
Zip	:	30318-3079
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	2234 10TH AVE
Second Line	:
City	:	VERO BEACH
State	:	FL
Zip	:	32960-5309
Country	:	US
Telephone Number	:	850-450-3291
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/15/2019
Last Update Date	:	03/10/2026

Similar Medicare Providers

1902840721 — MATRIX REHABILITATION, INC.
Practice Location Address:

2401 E WARDLOW RD , M/C CO54-0405
LONG BEACH, CA
90807-5309

Practice Phone: 562-593-5817
Practice Fax: 562-982-6735

1770509804 — MEDICAL HOMECARE SUPPLY, INC.
Practice Location Address:

640 NORTHLAKE BLVD
NORTH PALM BEACH, FL
33408-5309

Practice Phone: 561-842-3708
Practice Fax: 561-842-6464

1205942331 — JENNIFER ENRIQUEZ-JOHNSON P.T.
Practice Location Address:

2401 E WARDLOW RD
LONG BEACH, CA
90807-5309

Practice Phone: 562-593-5817
Practice Fax: 562-982-6735

1689733180 — NED V GALLO
Practice Location Address:

610 NORTHLAKE BLVD
NORTH PALM BEACH, FL
33408-5309

Practice Phone: 561-848-3937
Practice Fax:

1265636302 — JULIE M CICILEO LCSW
Practice Location Address:

4712 E 2ND ST STE 330
LONG BEACH, CA
90803-5309

Practice Phone: 562-453-8614
Practice Fax:

1588065114 — BRADLEY NEIL RUNSICK MS, BCBA
Practice Location Address:

4712 E 2ND ST , SUITE 140
LONG BEACH, CA
90803-5309

Practice Phone: 714-273-4429
Practice Fax: 818-937-0883

Directions to “ VICTORIA PAYTON MS, RD, LD” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.