Provider Demographics
NPI:1811868425
Name:STONE, PEIGHTON (MS, RDN)
Entity type:Individual
Prefix:
First Name:PEIGHTON
Middle Name:
Last Name:STONE
Suffix:
Gender:F
Credentials:MS, RDN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10451 W BROWARD BLVD APT 201
Mailing Address - Street 2:
Mailing Address - City:PLANTATION
Mailing Address - State:FL
Mailing Address - Zip Code:33324-2126
Mailing Address - Country:US
Mailing Address - Phone:443-545-4828
Mailing Address - Fax:
Practice Address - Street 1:10451 W BROWARD BLVD APT 201
Practice Address - Street 2:
Practice Address - City:PLANTATION
Practice Address - State:FL
Practice Address - Zip Code:33324-2126
Practice Address - Country:US
Practice Address - Phone:443-545-4828
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-09-16
Last Update Date:2025-09-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL164.022914133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered