Candace Denise Campbell, RDN

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

L006959 Issued in NC

Practice address

6371 Jessie LN
Clemmons, NC 27012-9887

Phone

(336) 740-9060

Fax

(336) 740-9659

NPI assigned

Aug 3, 2022

Last updated

Dec 16, 2024By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

Specialty

Registered Dietitian Or Nutrition Professional

Education

Other, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

NH-CL Clinics LLCGroup PAC ID 6305262692, 82 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: ccampbell1645905@direct.novanthealth.org

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

• NH-CL Clinics, LLC

  dba CoreLife Novant Health

  • Family Medicine Physician
  • Kernersville, NC
  • NPI 1487276499
  Medicare reassignment Care Compare group NPD
• Truebio Innovative Health & Wellness

  • Primary Care Nurse Practitioner
  • Winston Salem, NC
  • NPI 1073181855
  Medicare reassignment NPD
• Neurosurgical Associates of the

  • Neurological Surgery Physician
  • Winston Salem, NC
  • NPI 1003917725
  NPD
• Marjorie Nolan Cohn LLC

  • Registered Dietitian
  • New York, NY
  • NPI 1760825160

  Dietitian, Registered

  NPD (past)

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

{
    "created_epoch": "1659484800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1734307200000",
    "number": "1649907296",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 604050",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282604050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6371 JESSIE LN",
            "city": "CLEMMONS",
            "state": "NC",
            "postal_code": "270129887",
            "telephone_number": "336-740-9060",
            "fax_number": "336-740-9659"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6045 Holder Rd",
            "address_purpose": "LOCATION",
            "city": "Clemmons",
            "state": "NC",
            "postal_code": "270128315",
            "country_code": "US",
            "telephone_number": "910-690-5934",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CAMPBELL",
        "first_name": "CANDACE",
        "middle_name": "DENISE",
        "credential": "RDN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-08-03",
        "last_updated": "2024-12-16",
        "certification_date": "2024-12-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "NC",
            "license": "L006959",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bypeterson Properties, LLC (Brookstone Terrace Assisted Living Faciltiy)
• Xiuwei Cai
• Larry Jason Calloway
• Calming Corner Counseling
• Camel City Chiropractic and Injury
• Thane Robert Campbell, MD
• Manuel Alejandro Cano, BCBA
• Carenet, Inc. (Carenet Counseling)
• Carillon Assisted Living of Clemmons, LLC
• Carolina Hearing Doctors, Inc.

• Registered Dietitian in Clemmons, NC
• Providers in Clemmons, NC by specialty
• Registered Dietitian in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.