Jacqui Campbell Nutrition

Primary specialty

Registered DietitianTaxonomy code 133V00000X

Legal business name

JACQUI CAMPBELL NUTRITION

Practice address

308 Hazard Ave
Enfield, CT 06082-4613

Phone

(860) 698-0656

Fax

(860) 929-0858

NPI assigned

Jan 19, 2024

Last updated

Jan 19, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jacqueline J Campbell, MS, RD, CDN, LDNNPI 1033541370

Title

Owner

Phone

(860) 698-0656

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jacqueline J Campbell, MS, RD, CDN, LDN

  • Registered Dietitian
  • Enfield, CT
  • NPI 1033541370

  Dietitian, Registered

  NPD Authorized official

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

{
    "created_epoch": "1705622400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1705622400000",
    "number": "1063273712",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "308 HAZARD AVE",
            "city": "ENFIELD",
            "state": "CT",
            "postal_code": "060824613",
            "telephone_number": "860-698-0656",
            "fax_number": "860-929-0858"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "308 HAZARD AVE",
            "city": "ENFIELD",
            "state": "CT",
            "postal_code": "060824613",
            "telephone_number": "860-698-0656",
            "fax_number": "860-929-0858"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JACQUI CAMPBELL NUTRITION",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-19",
        "last_updated": "2024-01-19",
        "certification_date": "2024-01-19",
        "status": "A",
        "authorized_official_last_name": "CAMPBELL",
        "authorized_official_first_name": "JACQUELINE",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "860-698-0656",
        "authorized_official_credential": "MS, RD, CDN, LDN"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michelle Ishler
• Marcus Vinicius Jackovitz, DPT
• Christy Alexa Steimer Jackson, PH.D.
• Lakeesha Jackson
• Sherieffa Nicola Jackson, PMHNP-BC
• Corey L James
• Laurie Ann Jameson, PHARMD
• Brianna Mae Jarvis
• Jonathon Jason Jasak
• Stephanie Jasmin, LCSW

• Registered Dietitian in Enfield, CT
• Providers in Enfield, CT by specialty
• Registered Dietitian in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2024; 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.