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

Active since February 17, 2025
871 CORONADO CENTER DR STE 200, HENDERSON, NV 89052(623) 399-6825(623) 505-3474 Get Directions Write a Review

NPPES record last updated: June 10, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 10, 2025, Feb 17, 2025 (2 updates tracked since 2025).

About Mrs. Patty Anne Campbell Rd NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MRS. PATTY ANNE CAMPBELL RD (NPI 1194520775) is an individual dietitian, registered in Henderson, Nevada, licensed in Nevada (32027-DI-6) and active in the NPI registry since February 2025. She maintains a secondary practice location in Henderson and is a graduate of Other (1982).

NPPES Registry Identity

NPI1194520775
Entity TypeIndividualFemale
Primary Taxonomy133V00000X
Provider Legal NameMRS. PATTY ANNE CAMPBELLCredential: RD
Location Address871 CORONADO CENTER DR STE 200Henderson, NV 89052-3977
Mailing Address18001 N 79th Ave Ste A12Glendale, AZ 85308-8398 · (623) 399-6825 · Fax (623) 505-3474
Phone(623) 399-6825
Fax(623) 505-3474
Sole ProprietorNo
Medical School CMSOtherGraduated 1982
Enumeration DateFebruary 17, 2025
Last NPPES UpdateJune 10, 20252 updates tracked since enumeration
NPPES CertifiedJune 10, 2025
✔ NPI 1194520775 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDietitian, RegisteredDietary & Nutritional Service Providers
Taxonomy Code133V00000X
License✔ Licensed in NV · 32027-DI-6
Definition
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.
Also ListedDietitian, Registered · Nutrition, RenalTaxonomy 133VN1005X · License 32027-DI-6 (NV)
871 CORONADO CENTER DR STE 200, Henderson, NV 89052
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Secondary Practice Location 1

Location 12448 Blackcraig StHenderson, NV 89044-8758 · Phone (702) 335-4211

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mrs. Patty Anne Campbell Rd is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID2466964697
PECOS Enrollment IDI20250624002289

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SILVER STATE FIELD MEDICAL GROUP, LLC
Family Medicine
871 CORONADO CENTER DR STE 200
HENDERSON, NV 89052
Clark County (702) 913-9380
FIRST CHOICE TRANSPORTATIOON LLC
Non-emergency Medical Transport (VAN)
871 CORONADO CENTER DR STE 200
HENDERSON, NV 89052
Clark County (702) 418-3772
LIFETIME HOSPICE CARE INC
Hospice Care, Community Based
871 CORONADO CENTER DR STE 200
HENDERSON, NV 89052
Clark County (702) 289-4665
MOLLY KALSMAN RD, LD
Dietitian, Registered
871 CORONADO CENTER DR STE 200
HENDERSON, NV 89052
Clark County (702) 830-9685
CARE AND CRISIS CLINIC LLC
Clinic/Center (Multi-Specialty)
871 CORONADO CENTER DR STE 200
HENDERSON, NV 89052
Clark County (702) 723-2273
EVINA MICHAELA ABAD
Behavior Technician
871 CORONADO CENTER DR STE 200
HENDERSON, NV 89052
Clark County (855) 832-6727
NELSON NGUNDUE
Assistant Behavior Analyst
871 CORONADO CENTER DR STE 200
HENDERSON, NV 89052
Clark County (855) 832-6727
DR. CORY PEARCE PHD
Psychologist (Clinical)
871 CORONADO CENTER DR STE 200
HENDERSON, NV 89052
Clark County (702) 660-9062

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Patty Campbell's NPI number?

The NPI number for Patty Campbell is 1194520775. It was assigned to this individual provider in the NPPES registry on February 17, 2025.

Where is Patty Campbell located?

Patty Campbell practices at 871 Coronado Center Dr Ste 200, Henderson, NV 89052. The listed phone number is (623) 399-6825.

What is Patty Campbell's specialty?

The primary specialty registered for this NPI is Dietitian, Registered with taxonomy code 133V00000X.

Is Patty Campbell enrolled in Medicare?

Yes. Patty Campbell is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Patty Campbell was last updated on June 10, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.