Marianne Gronstal Campbell, RD

Primary specialty

Renal Nutrition Registered DietitianTaxonomy code 133VN1005X

License

334 Issued in NE

Practice address

5084 Ames Ave
Omaha, NE 68104-2323

Phone

(402) 451-7745

Fax

(402) 451-8090

NPI assigned

Dec 11, 2006

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1165795200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1033279781",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "451 FRANK ST",
            "city": "COUNCIL BLUFFS",
            "state": "IA",
            "postal_code": "515034551",
            "telephone_number": "712-322-7605"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5084 AMES AVE",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681042323",
            "telephone_number": "402-451-7745",
            "fax_number": "402-451-8090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAMPBELL",
        "first_name": "MARIANNE",
        "middle_name": "GRONSTAL",
        "credential": "RD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-11",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133VN1005X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered, Nutrition, Renal",
            "state": "NE",
            "license": "334",
            "primary": true
        },
        {
            "code": "133VN1005X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered, Nutrition, Renal",
            "state": "IA",
            "license": "00025",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kimberly Campbell
• Kristen Campbell, PHARMD
• Kyle W Campbell, APRN
• Kylie Campbell, RBT
• Marcel Campbell
• Meagan Campbell
• Megan L Campbell
• Nancy J Campbell
• Rebecca Campbell
• Reed Charles Campbell, MA LIMHP LADC

• Renal Nutrition Registered Dietitian in Omaha, NE
• Providers in Omaha, NE by specialty
• Renal Nutrition Registered Dietitian in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.