Active NPI
Susan Kathryn Campbell, R.D., L.D.
- Registered Dietitian
- Garfield HTS, OH
National Provider Identifier
1972622843
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 4115
- Practice address
- 10204 Granger Rd
Garfield HTS, OH 44125-3106 - Phone
- (216) 581-2900
- Fax
- (216) 581-1517
- NPI assigned
- Mar 29, 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 | 4115 | OH | Primary |
Addresses
Primary practice location
10204 Granger Rd
Garfield HTS, OH 44125-3106
Mailing address
4801 W 228TH St
Fairview Park, OH 44126-2426
Phone (440) 777-3649
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1175126400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1972622843",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4801 W 228TH ST",
"city": "FAIRVIEW PARK",
"state": "OH",
"postal_code": "441262426",
"telephone_number": "440-777-3649"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10204 GRANGER RD",
"city": "GARFIELD HTS",
"state": "OH",
"postal_code": "441253106",
"telephone_number": "216-581-2900",
"fax_number": "216-581-1517"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CAMPBELL",
"first_name": "SUSAN",
"middle_name": "KATHRYN",
"name_prefix": "Mrs.",
"credential": "R.D., L.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-03-29",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "OH",
"license": "4115",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Garfield HTS, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.