Active NPI
Ruth Lynnette Campbell, RDN
- Registered Dietitian
- Hunter, OK
National Provider Identifier
1043775281
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 86
- Practice address
- 15405 N 186TH
Hunter, OK 74640-0652 - Phone
- (580) 684-7869
- NPI assigned
- Feb 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 |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 86 | OK | Primary |
Addresses
Primary practice location
15405 N 186TH
Hunter, OK 74640-0652
Mailing address
15405 N 186TH
Hunter, OK 74640-0652
Phone (580) 684-7869
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| LD-86 | Other | OK | DIETITIANS LICENSE |
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 86 | OK | MD | Registered Dietitian |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1548979200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1548979200000",
"number": "1043775281",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15405 N 186TH",
"city": "HUNTER",
"state": "OK",
"postal_code": "746400652",
"telephone_number": "580-684-7869"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15405 N 186TH",
"city": "HUNTER",
"state": "OK",
"postal_code": "746400652",
"telephone_number": "580-684-7869"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CAMPBELL",
"first_name": "RUTH",
"middle_name": "LYNNETTE",
"credential": "RDN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-02-01",
"last_updated": "2019-02-01",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dietitian, Registered",
"state": "OK",
"license": "86",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DIETITIANS LICENSE",
"identifier": "LD-86",
"state": "OK"
}
],
"endpoints": [],
"other_names": []
}Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 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.