Active NPI
Renita Lynn Peyton, FNP
- Family Nurse Practitioner
- Springboro, OH
National Provider Identifier
1790347706
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- APRN.CNP.025028
- Practice address
- 540 W Central Ave
Springboro, OH 45066-1110 - Phone
- (937) 550-4511
- NPI assigned
- Jul 1, 2019
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | APRN.CNP.025028 | OH | Primary |
Addresses
Primary practice location
540 W Central Ave
Springboro, OH 45066-1110
Mailing address
5621 Willow Twig LN
Dayton, OH 45459-1151
Phone (937) 546-6588
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | https://www.kareo.com | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| APRN.CNP.025028 | OH | MD | Family Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1561939200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1561939200000",
"number": "1790347706",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5621 WILLOW TWIG LN",
"city": "DAYTON",
"state": "OH",
"postal_code": "454591151",
"telephone_number": "937-546-6588"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "540 W CENTRAL AVE",
"city": "SPRINGBORO",
"state": "OH",
"postal_code": "450661110",
"telephone_number": "937-550-4511"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PEYTON",
"first_name": "RENITA",
"middle_name": "LYNN",
"name_prefix": "Miss",
"credential": "FNP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-07-01",
"last_updated": "2019-07-01",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "OH",
"license": "APRN.CNP.025028",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "https://www.kareo.com",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "Healthcare information",
"address_1": "540 W Central Ave",
"city": "Springboro",
"state": "OH",
"country_code": "US",
"postal_code": "450661110",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Springboro, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.