Individual provider Active NPI

Jessica Ann Campbell

  • Nutritionist
  • Redwood City, CA
National Provider Identifier
1619680501
Registry record updated Jan 5, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
NutritionistTaxonomy code 133N00000X
Practice address
570 Price Ave Ste 100
Redwood City, CA 94063-1433
Phone
(650) 701-1882
NPI assigned
Jan 5, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 5, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nutritionist 133N00000X Primary

Addresses

Primary practice location

570 Price Ave Ste 100
Redwood City, CA 94063-1433

Mailing address

651 Oak Ave
Redwood City, CA 94061-2218
Phone (650) 454-9878

Other identifiers 1

IdentifierTypeStateIssuer
1234567OtherCAN/A

Electronic endpoints 2

TypeEndpointUseAffiliation
CONNECT URL foodfoundation.practicebetter.io Health Information Exchange (HIE)
CONNECT URL foodfoundation.practicebetter.io Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

NPI Registry JSON

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

{
    "created_epoch": "1672876800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1672876800000",
    "number": "1619680501",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "651 OAK AVE",
            "city": "REDWOOD CITY",
            "state": "CA",
            "postal_code": "940612218",
            "telephone_number": "650-454-9878"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "570 PRICE AVE STE 100",
            "city": "REDWOOD CITY",
            "state": "CA",
            "postal_code": "940631433",
            "telephone_number": "650-701-1882"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAMPBELL",
        "first_name": "JESSICA",
        "middle_name": "ANN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-01-05",
        "last_updated": "2023-01-05",
        "certification_date": "2023-01-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133N00000X",
            "taxonomy_group": "",
            "desc": "Nutritionist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "N/A",
            "identifier": "1234567",
            "state": "CA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "foodfoundation.practicebetter.io",
            "affiliation": "N",
            "endpointDescription": "Online platform",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Online Platform HIPAA compliant",
            "address_1": "651 Oak Ave",
            "city": "Redwood City",
            "state": "CA",
            "country_code": "US",
            "postal_code": "940612218",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "foodfoundation.practicebetter.io",
            "affiliation": "N",
            "endpointDescription": "Online HIPAA compliant platform",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Online platform",
            "address_1": "651 Oak Ave",
            "city": "Redwood City",
            "state": "CA",
            "country_code": "US",
            "postal_code": "940612218",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Redwood City, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2023; 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.