Provider Demographics
NPI:1144030883
Name:PAYTON, TAMI L
Entity type:Individual
Prefix:
First Name:TAMI
Middle Name:L
Last Name:PAYTON
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:177 E OVERLOOK DR
Mailing Address - Street 2:
Mailing Address - City:EASTLAKE
Mailing Address - State:OH
Mailing Address - Zip Code:44095-1107
Mailing Address - Country:US
Mailing Address - Phone:216-262-1388
Mailing Address - Fax:
Practice Address - Street 1:27801 EUCLID AVE STE 456
Practice Address - Street 2:
Practice Address - City:EUCLID
Practice Address - State:OH
Practice Address - Zip Code:44132-3554
Practice Address - Country:US
Practice Address - Phone:216-795-5996
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-01-13
Last Update Date:2025-01-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH374J00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula