Active NPI
Victoria Lynn Campbell, RDN
- Registered Dietitian
- Canton, MS
National Provider Identifier
1699036178
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- D1688
- Practice address
- 117 Coventry LN
Canton, MS 39046-6610 - Phone
- (662) 212-2219
- NPI assigned
- May 31, 2012
- Last updated
- Aug 5, 2021
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Nutrition Registered Dietitian | 133VN1004X | DT82188 | TX | |
| Registered Dietitian | 133V00000X | D1688 | MS | Primary |
Addresses
Primary practice location
117 Coventry LN
Canton, MS 39046-6610
Mailing address
117 Coventry LN
Canton, MS 39046-6610
Phone (662) 212-2219
Other names 1
- Victoria Templeton
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DT82188 | TX | MD | Pediatric Nutrition Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Fay Nutrition | Dietitian, Registered | Past | Accepting new patients |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Health Service Clinic/Center
- Canton, MS
- NPI 1174109433
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1338422400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1628121600000",
"number": "1699036178",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "117 COVENTRY LN",
"city": "CANTON",
"state": "MS",
"postal_code": "390466610",
"telephone_number": "662-212-2219"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "117 COVENTRY LN",
"city": "CANTON",
"state": "MS",
"postal_code": "390466610",
"telephone_number": "662-212-2219"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CAMPBELL",
"first_name": "VICTORIA",
"middle_name": "LYNN",
"credential": "RDN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-05-31",
"last_updated": "2021-08-05",
"certification_date": "2021-08-05",
"status": "A"
},
"taxonomies": [
{
"code": "133VN1004X",
"taxonomy_group": "",
"desc": "Dietitian, Registered, Nutrition, Pediatric",
"state": "TX",
"license": "DT82188",
"primary": false
},
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "MS",
"license": "D1688",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "VICTORIA",
"last_name": "TEMPLETON",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Canton, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.