NPI 1194520775 · live from the CMS NPI Registry
Patty Anne Campbell, RD
Dietitian, Registered in Henderson, NV. National Provider Identifier 1194520775, active.
NPI record
| NPI | 1194520775 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Dietitian, Registered 133V00000X |
| Practice location | 871 Coronado Center Dr Ste 200, Henderson, NV 89052 |
| Practice phone | 623-399-6825 |
| Mailing address | 18001 N 79th Ave Ste A12, Glendale, AZ 85308 |
| Enumerated | February 17, 2025 |
| Last updated | June 10, 2025 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dietitian, Registered, Nutrition, Renal | 133VN1005X | 32027-DI-6 (NV) |
| Dietitian, Registered primary | 133V00000X | 32027-DI-6 (NV) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.