Patricia Ann Campbell, R.D., LDN
Individual provider Active NPI Registered Dietitian · Clinton, TN
NPI 1124161971 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1124161971
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Registered Dietitian 133V00000X
- License
- 000457 (TN)
- Practice address
- 710 N Main St Ste a
Clinton, TN 37716-3143 - Phone
- (865) 425-8759
- Fax
- (865) 457-4850
- NPI assigned
- Feb 14, 2007
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 000457 | TN | MD | Registered Dietitian |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 000457 | TN | Yes |
Addresses
Primary practice location
710 N Main St Ste a
Clinton, TN 37716-3143
Mailing address
130 Baypath Dr
Oak Ridge, TN 37830-7851
Phone (865) 481-0136
Other providers in Clinton, TN
- C.B.Helping Hands LLC
- Carla Cadmus
- Tracy Nichole Cain
- Campbell County Hma LLC
- Kimberly Campbell
- Viginia Lynn Canfield
- Caris Healthcare
- Stephanie Carroll
- Samantha Caton
- Cherokee Health Systems
All providers in Clinton, TN · Registered Dietitian in Tennessee
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.