Individual provider Active NPI

Kaylie Campbell, RDN, CSSD, LD

  • Registered Dietitian
  • Royse City, TX
National Provider Identifier
1245884543
Registry record updated Nov 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
86056188 Issued in TX
Practice address
3278 McCallister Way
Royse City, TX 75189-1322
Phone
(972) 823-7520
NPI assigned
Jul 25, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 20, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X 86056188 TX Primary

Addresses

Primary practice location

3278 McCallister Way
Royse City, TX 75189-1322

Mailing address

3278 McCallister Way
Royse City, TX 75189-1322
Phone (972) 823-7520

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190819002324 TX Practitioner - Registered Dietitian Or Nutrition Professional 7315275195 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
86056188TXMDRegistered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
Curis Functional Health Dietitian, Registered CurrentSince Jan 1, 2026 Accepting new patients
Nourish, Inc. Dietitian, Registered Past Accepting new patients

Locations

4801 Frankford Rd
Ste 300
Dallas, TX 75287
Phone (214) 390-3259

221 Regency Pkwy
Ste 101
Mansfield, TX 76063
Phone (817) 453-0430

6020 W Parker Rd
Ste 425
Plano, TX 75093
Phone (972) 608-9966

554 W Ralph Hall Pkwy
Rockwall, TX 75032
Phone (972) 771-3388

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1564012800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1732060800000",
    "number": "1245884543",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3278 MCCALLISTER WAY",
            "city": "ROYSE CITY",
            "state": "TX",
            "postal_code": "751891322",
            "telephone_number": "972-823-7520"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3278 MCCALLISTER WAY",
            "city": "ROYSE CITY",
            "state": "TX",
            "postal_code": "751891322",
            "telephone_number": "972-823-7520"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAMPBELL",
        "first_name": "KAYLIE",
        "credential": "RDN, CSSD, LD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-07-25",
        "last_updated": "2024-11-20",
        "certification_date": "2024-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "TX",
            "license": "86056188",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Royse City, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.