Active NPI
Kaylie Campbell, RDN, CSSD, LD
- Registered Dietitian
- Royse City, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 86056188
- 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
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 | 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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 86056188 | TX | MD | Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Curis Functional Health | Dietitian, Registered | Current | 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.