Active NPI
Pamela Sue Campbell, R.D., L.D.N., C.D.E.
- Registered Dietitian
- Erie, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- DN001078
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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 CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 93.9 of 100
- Quality
- 85.02
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| St Vincent Medical Education and Research Institute Inc | Current | 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
- 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.
-
- Internal Medicine Physician
- Erie, PA
- NPI 1902881477
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.