Individual provider Active NPI

Pamela Sue Campbell, R.D., L.D.N., C.D.E.

  • Registered Dietitian
  • Erie, PA
National Provider Identifier
1790906212
Registry record updated Oct 1, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
DN001078 Issued in PA
Practice address
3822 Colonial Ave
Erie, PA 16506-3826
Phone
(814) 835-2626
Fax
(814) 835-2646
NPI assigned
May 1, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 1, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X DN001078 PA Primary

Addresses

Primary practice location

3822 Colonial Ave
Erie, PA 16506-3826

Mailing address

3822 Colonial Ave
Erie, PA 16506-3826
Phone (814) 835-2626

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address pcampbell151500@direct.ahn.org

Medicare participation

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

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
93.9 of 100Reported as apm
Quality
85.02
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
St Vincent Medical Education and Research Institute Inc CurrentSince Jan 1, 2016 Accepting new patients

Locations

155 E State St
Albion, PA 16401
Phone (814) 756-4917

3530 Peach St
Erie, PA 16508
Phone (814) 864-0038

232 W 25th St
Erie, PA 16544
Phone (814) 452-5337

1910 Sassafras St
Ste 100
Erie, PA 16502
Phone (814) 452-5772

3822 Colonial Ave
Erie, PA 16506
Phone (814) 833-5653

Interoperability endpoints

  • Direct secure messaging: pcampbell151500@direct.ahn.org

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1177977600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1601510400000",
    "number": "1790906212",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3822 COLONIAL AVE",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165063826",
            "telephone_number": "814-835-2626",
            "fax_number": "814-835-2646"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3822 COLONIAL AVE",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165063826",
            "telephone_number": "814-835-2626",
            "fax_number": "814-835-2646"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAMPBELL",
        "first_name": "PAMELA",
        "middle_name": "SUE",
        "credential": "R.D., L.D.N., C.D.E.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-01",
        "last_updated": "2020-10-01",
        "certification_date": "2020-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "PA",
            "license": "DN001078",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "pcampbell151500@direct.ahn.org",
            "affiliation": "N",
            "address_1": "3822 Colonial Ave",
            "city": "Erie",
            "state": "PA",
            "country_code": "US",
            "postal_code": "165063826",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Erie, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • 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.