Deidra Campbell, RD

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

0000002908 Issued in TN

Practice address

100 Emancipation Dr
Hampton, VA 23667-2127

Phone

(757) 722-9961

NPI assigned

Feb 23, 2017

Last updated

Oct 10, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Deidra Nelson Former name

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": "1487808000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728518400000",
    "number": "1184163107",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "412 SURI DR",
            "city": "WILLIAMSBURG",
            "state": "VA",
            "postal_code": "231854374",
            "telephone_number": "901-210-6750"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 EMANCIPATION DR",
            "city": "HAMPTON",
            "state": "VA",
            "postal_code": "236672127",
            "telephone_number": "757-722-9961"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAMPBELL",
        "first_name": "DEIDRA",
        "credential": "RD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-02-23",
        "last_updated": "2024-10-10",
        "certification_date": "2024-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "TN",
            "license": "0000002908",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DEIDRA",
            "last_name": "NELSON",
            "credential": "RD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Calm Soul Wellness, LLC
• Victoria B Caminer, PSYD
• Amy L Campbell, MD
• Blinda Jean Campbell, PTA
• Chrystal Campbell, LPC
• Gary Edward Campbell, PA-C
• Katherine C Campbell, LPC
• Kelly R Campbell, PT
• Marcella Meadows Campbell, FNPC MSN
• Ryann Elizabeth Campbell

• Registered Dietitian in Hampton, VA
• Providers in Hampton, VA by specialty
• Registered Dietitian in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 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.