Individual provider Active NPI

Rebecca Campbell, RD, RN

  • Registered Dietitian
  • Temple, TX
National Provider Identifier
1629210661
Registry record updated Apr 6, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
603341 Issued in IN
Practice address
1901 S. 1St St
Central Texas Veterans Healthcare System
Temple, TX 76504
Phone
(254) 743-1304
Fax
(254) 743-0106
NPI assigned
Apr 6, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 6, 2009

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X 603341 IN Primary
Registered Nurse 163W00000X 740897 TX

Addresses

Primary practice location

1901 S. 1St St
Central Texas Veterans Healthcare System
Temple, TX 76504

Mailing address

3102 Brykerwood Rd
Temple, TX 76502-1306
Phone (254) 774-1395

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
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
603341INMDRegistered Dietitian
740897TXMDRegistered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1238976000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1238976000000",
    "number": "1629210661",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3102 BRYKERWOOD RD",
            "city": "TEMPLE",
            "state": "TX",
            "postal_code": "765021306",
            "telephone_number": "254-774-1395"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1901 S. 1ST ST",
            "address_2": "CENTRAL TEXAS VETERANS HEALTHCARE SYSTEM",
            "city": "TEMPLE",
            "state": "TX",
            "postal_code": "76504",
            "telephone_number": "254-743-1304",
            "fax_number": "254-743-0106"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAMPBELL",
        "first_name": "REBECCA",
        "credential": "RD, RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-04-06",
        "last_updated": "2009-04-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "IN",
            "license": "603341",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "TX",
            "license": "740897",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Temple, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2009; 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.