Provider Demographics
NPI:1619138971
Name:PAYTON, BRITTANY CANDICE (RDN, LD)
Entity type:Individual
Prefix:MRS
First Name:BRITTANY
Middle Name:CANDICE
Last Name:PAYTON
Suffix:
Gender:F
Credentials:RDN, LD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1919 E MELISSA RD UNIT 263
Mailing Address - Street 2:
Mailing Address - City:MELISSA
Mailing Address - State:TX
Mailing Address - Zip Code:75454-9998
Mailing Address - Country:US
Mailing Address - Phone:917-515-4690
Mailing Address - Fax:
Practice Address - Street 1:1919 E MELISSA RD UNIT 263
Practice Address - Street 2:
Practice Address - City:MELISSA
Practice Address - State:TX
Practice Address - Zip Code:75454-9998
Practice Address - Country:US
Practice Address - Phone:917-515-4690
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-06-19
Last Update Date:2025-04-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLND141165133V00000X
TXDT91818133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLND141165OtherSTATE OF FLORIDA DEPARTMENT OF HEALTH DIVISION OF MEDICAL QUALITY ASSURANCE
TXDT91818OtherTEXAS DEPARTMENT OF LICENSING AND REGISTRATION