Marissa Campbell Rd, LLC

Primary specialty

Registered DietitianTaxonomy code 133V00000X

Legal business name

MARISSA CAMPBELL RD, LLC

Practice address

1832 Woodmoor Dr. Suite 100
Monument, CO 80132

Phone

(719) 246-6948

NPI assigned

Jan 29, 2022

Organization subpart

No

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

Authorized official

Name

Marissa Campbell, RDNPI 1205341047

Title

Registered Dietitian

Phone

(719) 246-6948

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Marissa Campbell, RD

  • Registered Dietitian
  • Colorado Springs, CO
  • NPI 1205341047

  Dietitian, Registered

  NPD Authorized official

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

{
    "created_epoch": "1643414400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1643414400000",
    "number": "1891448957",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1832 WOODMOOR DR. SUITE 100",
            "city": "MONUMENT",
            "state": "CO",
            "postal_code": "80132"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1832 WOODMOOR DR. SUITE 100",
            "city": "MONUMENT",
            "state": "CO",
            "postal_code": "80132",
            "telephone_number": "719-246-6948"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARISSA CAMPBELL RD, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-01-29",
        "last_updated": "2022-01-29",
        "certification_date": "2022-01-29",
        "status": "A",
        "authorized_official_last_name": "CAMPBELL",
        "authorized_official_first_name": "MARISSA",
        "authorized_official_title_or_position": "REGISTERED DIETITIAN",
        "authorized_official_telephone_number": "719-246-6948",
        "authorized_official_credential": "RD"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CDR NUMBER",
            "identifier": "86066443",
            "state": null
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "www.marissacampbellrd.com",
            "affiliation": "N",
            "address_1": "1832 Woodmoor Dr. Suite 100",
            "city": "Monument",
            "state": "CO",
            "country_code": "US",
            "postal_code": "80132",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Ann Louise Marsico, OTR
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• Registered Dietitian in Monument, CO
• Providers in Monument, CO by specialty
• Registered Dietitian in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2022; 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.