Roya Anvar Campbell, RD,LDN

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

L000855 Issued in NC

Practice address

1801 E. 5TH Street
Suite 213
Charlotte, NC 28227

Phone

(704) 577-8416

Fax

(704) 248-7561

NPI assigned

Nov 15, 2007

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1195084800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1195084800000",
    "number": "1780865014",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5113 BIRCHBARK LN",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282274916",
            "telephone_number": "704-577-8416",
            "fax_number": "704-248-7561"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1801 E. 5TH STREET",
            "address_2": "SUITE 213",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "28227",
            "telephone_number": "704-577-8416",
            "fax_number": "704-248-7561"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAMPBELL",
        "first_name": "ROYA",
        "middle_name": "ANVAR",
        "name_prefix": "Mrs.",
        "credential": "RD,LDN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-11-15",
        "last_updated": "2007-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "NC",
            "license": "L000855",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PROVIDER #",
            "identifier": "14192",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Nancy Miller Campbell, LPC
• Natalie Cordero Campbell, CRNA
• Orville Lee Campbell, PA-C
• Rochelle Marie Campbell, CNM
• Ronald Campbell Jr., LCMHC
• Samantha Campbell
• Sarah Campbell, LPCA
• Shelia Denise Campbell, LPC-A
• Shyamalia Campbell
• Sophia Campbell, LCSW-A

• Registered Dietitian in Charlotte, NC
• Providers in Charlotte, 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 Nov 15, 2007; 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.