MRS. PATTY ANNE CAMPBELL RD
NPI 1194520775
Dietitian, Registered in Henderson, NV

NPI Status: Active since February 17, 2025

Contact Information

871 CORONADO CENTER DR STE 200
HENDERSON, NV
ZIP 89052
Phone: (623) 399-6825
Fax: (623) 505-3474

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  • Individual
  • Female
  • Years of Experience 44
  • Dietitian, Registered
  • May Accept Medicare Approved Payment

About PATTY CAMPBELL

This page provides the complete NPI Profile along with additional information for Patty Campbell, a provider established in Henderson, Nevada with a medical specialization in Dietitian, Registered and more than 44 years of experience. The healthcare provider is registered in the NPI registry with number 1194520775 assigned on February 2025. The practitioner's primary taxonomy code is 133V00000X with license number 32027-DI-6 (NV). The provider is registered as an individual and her NPI record was last updated one year ago.

NPI
1194520775
Provider Name
MRS. PATTY ANNE CAMPBELL RD
Gender
Female
Entity Type
Individual
Location Address
871 CORONADO CENTER DR STE 200 HENDERSON, NV 89052
Location Phone
(623) 399-6825
Location Fax
(623) 505-3474
Mailing Address
18001 N 79TH AVE STE A12 GLENDALE, AZ 85308
Mailing Phone
(623) 399-6825
Mailing Fax
(623) 505-3474
Medical School Name
OTHER
Graduation Year
1982
Is Sole Proprietor?
No
Enumeration Date
02-17-2025
Last Update Date
06-10-2025
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Location Map

Secondary Locations

  • 2448 Blackcraig St
    Henderson, NV 89044
    (702) 335-4211

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Dietitian, Registered

Taxonomy Code
133V00000X
Type
Dietary & Nutritional Service Providers
License No.
32027-DI-6
License State
NV
Taxonomy Description
A Registered Dietitian (RD)/Registered Dietitian Nutritionist (RDN) is an individual uniquely trained in the science of nutrition and practice of dietetics to design and provide medical nutrition therapy (MNT) and other evidence-based applications of the Nutrition Care Process (NCP) that exemplify the profession's systematic approach to providing high quality nutrition care. Registered dietitians provide MNT for the purpose of disease prevention or management, or to treat or rehabilitate an illness, injury, or condition, with the use of specific, indicated physical and cognitive nutrition care services comprised of one or more of the following aspects of the NCP: nutrition assessment/reassessment, nutrition diagnosis, nutrition intervention (e.g., nutrition counseling, therapeutic diet ordering, and nutrition education) and nutrition monitoring and evaluation.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1133VN1005XDietary & Nutritional Service Providers

Dietitian, Registered
Nutrition, Renal

32027-DI-6 (NV)

Medicare Participation & PECOS Enrollment Status

Patty Campbell is registered with Medicare but maybe doesn't accept claims assignment. If you are a Medicare beneficiary call and confirm with the provider before seeking any services.

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • PECOS PAC ID: 2466964697

    What is the PECOS Associate Control ID?
    A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.

  • PECOS Enrollment ID: I20250624002289

    What is the Provider Enrollment ID?
    The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.

  • Accepts Medicare Assignment? Maybe

    What does it mean "accepts medicare assignment"?
    When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
    A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1194520775, we treat the final digit (5) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 55. The final step is to find the difference between that total and the next multiple of ten (60 - 55 = 5).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
1
Unchanged
Pos 3
9
Doubled → 18 → 1 + 8
Pos 4
4
Unchanged
Pos 5
5
Doubled → 10 → 1 + 0
Pos 6
2
Unchanged
Pos 7
0
Doubled → 0
Pos 8
7
Unchanged
Pos 9
7
Doubled → 14 → 1 + 4
Check
5
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 9 → 18 → 9 5 → 10 → 1 0 → 0 7 → 14 → 5

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 1 + 1 + 8 + 4 + 1 + 0 + 2 + 0 + 7 + 1 + 4 + 24 = 55

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 55 is 60. The difference is the calculated check digit.

60 - 55 = 5
This NPI is valid
The calculated check digit is 5, which matches the last digit of 1194520775.

Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Psychologist (Clinical)
871 CORONADO CENTER DR STE 200
HENDERSON, NV 89052
Non-emergency Medical Transport (VAN)
871 CORONADO CENTER DR STE 200
HENDERSON, NV 89052
Family Medicine
871 CORONADO CENTER DR STE 200
HENDERSON, NV 89052
Nurse Practitioner (Primary Care)
871 CORONADO CENTER DR STE 200
HENDERSON, NV 89052
Psychologist (Clinical)
871 CORONADO CENTER DR STE 200
HENDERSON, NV 89052
Psychiatry & Neurology (Child & Adolescent Psychiatry)
871 CORONADO CENTER DR STE 200
HENDERSON, NV 89052
Community/Behavioral Health
871 CORONADO CENTER DR STE 200
HENDERSON, NV 89052
Counselor (Mental Health)
871 CORONADO CENTER DR STE 200
HENDERSON, NV 89052
Home Health Aide
871 CORONADO CENTER DR STE 200
HENDERSON, NV 89052
Hospice Care, Community Based
871 CORONADO CENTER DR STE 200
HENDERSON, NV 89052
Nurse Practitioner (Primary Care)
871 CORONADO CENTER DR STE 200
HENDERSON, NV 89052
Home Health
871 CORONADO CENTER DR STE 200
HENDERSON, NV 89052
Dietitian, Registered
871 CORONADO CENTER DR STE 200
HENDERSON, NV 89052
Clinic/Center
871 CORONADO CENTER DR STE 200
HENDERSON, NV 89052
Hospice Care, Community Based
871 CORONADO CENTER DR STE 200
HENDERSON, NV 89052
Nurse Practitioner
871 CORONADO CENTER DR STE 200
HENDERSON, NV 89052
Counselor (Mental Health)
871 CORONADO CENTER DR STE 200
HENDERSON, NV 89052
Home Health
871 CORONADO CENTER DR STE 200
HENDERSON, NV 89052
Behavior Analyst
871 CORONADO CENTER DR STE 200
HENDERSON, NV 89052
Family Medicine
871 CORONADO CENTER DR STE 200
HENDERSON, NV 89052

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1194520775, enumerated as an "individual" on February 17, 2025.

The provider is located at 871 CORONADO CENTER DR STE 200 HENDERSON, NV 89052 and the phone number is (623) 399-6825.

Dietitian, Registered with taxonomy code 133V00000X.