Provider Demographics
NPI:1306448311
Name:ATKINS, PAYTON
Entity type:Individual
Prefix:
First Name:PAYTON
Middle Name:
Last Name:ATKINS
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 1:585 S UPPER ST APT 113
Mailing Address - Street 2:
Mailing Address - City:LEXINGTON
Mailing Address - State:KY
Mailing Address - Zip Code:40508-2971
Mailing Address - Country:US
Mailing Address - Phone:513-338-3818
Mailing Address - Fax:
Practice Address - Street 1:6932 TURPIN VIEW DR
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45244-3977
Practice Address - Country:US
Practice Address - Phone:513-338-3818
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-11-13
Last Update Date:2023-03-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program
No3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant