Active NPI
Lynn B Campbell, R.D., C.D.E.
- Registered Dietitian
- Gastonia, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- L000681
- Practice address
- 111 E 3Rd Ave
Gastonia, NC 28052-4317 - Phone
- (704) 874-3300
- Fax
- (704) 874-0065
- NPI assigned
- Aug 16, 2006
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | L000681 | NY | |
| Registered Dietitian | 133V00000X | L000681 | NC | Primary |
Addresses
Primary practice location
111 E 3Rd Ave
Gastonia, NC 28052-4317
Mailing address
200 E 2ND Ave
Gastonia, NC 28052-4358
Phone (704) 874-1900
Other practice location 1
4525 Cameron Valley Pkwy
Suite 4100
Charlotte, NC 28211-4369
Phone (704) 302-9300
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC, VA
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Registered Dietitian Or Nutrition Professional
- Education
- Other, 1979
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Gaston Family Health Services Inc
Practice addresses (Care Compare)
420 N Salisbury St
Lexington, NC 27292-3548
Phone (336) 249-6215
609 N Highland St
Gastonia, NC 28052-2179
Phone (704) 772-4700
991 W Hudson Blvd
Gastonia, NC 28052-6430
Phone (704) 853-5079
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 842 | SC | MD | Pediatric Dentist |
| L000681 | NC | MD | Registered Dietitian |
| L000681 | NY | MD | Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lwell LLC | Dietitian, Registered | Current | Accepting new patients |
Locations
711 N DeKalb St
Shelby, NC 28150
Phone (704) 482-1482
1309 Jamestown Rd
Ste 102
Williamsburg, VA 23185
Phone (757) 220-4917
Interoperability endpoints
- lcampbell351882@direct.ochin.org
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 and National Provider Directory roles.
-
- Federally Qualified Health Center (FQHC)
- Gastonia, NC
- NPI 1215932215
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155686400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1630281600000",
"number": "1962515908",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "200 E 2ND AVE",
"city": "GASTONIA",
"state": "NC",
"postal_code": "280524358",
"telephone_number": "704-874-1900"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "111 E 3RD AVE",
"city": "GASTONIA",
"state": "NC",
"postal_code": "280524317",
"telephone_number": "704-874-3300",
"fax_number": "704-874-0065"
}
],
"practiceLocations": [
{
"address_1": "4525 Cameron Valley Pkwy",
"address_2": "Suite 4100",
"address_purpose": "LOCATION",
"city": "Charlotte",
"state": "NC",
"postal_code": "282114369",
"country_code": "US",
"telephone_number": "704-302-9300",
"fax_number": "704-302-9301",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CAMPBELL",
"first_name": "LYNN",
"middle_name": "B",
"name_prefix": "Ms.",
"credential": "R.D., C.D.E.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-16",
"last_updated": "2021-08-30",
"certification_date": "2021-08-30",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "NY",
"license": "L000681",
"primary": false
},
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "NC",
"license": "L000681",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Gastonia, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- 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.