JACQUELINE J CAMPBELL


Address: 308 Hazard Ave, Enfield, CT 06082-4613
Phone: 8606980858

JACQUELINE J CAMPBELL (NPI# 1033541370) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1033541370
Entity Type Individual
Full Name JACQUELINE J CAMPBELL
Credential MS, RD, CDN
Practice Address 308 Hazard Ave
Enfield
CT 06082-4613
Mailing Address 30 Haynes St
Enfield
CT 06082-5057
Practice Telephone 8606980858
Practice Fax Number 8609290858
Mailing Telephone 4138541277
Enumeration Date 2013-08-08
Last Update Date 2018-04-24
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 133V00000X Dietitian, Registered Dietary & Nutritional Service Providers

Other Providers JACQUELINE CAMPBELL

NPI Name Taxonomy Address Enumeration
1619368180 Jacqueline Campbell Counselor 3189 Sw Fambrough St, Port Saint Lucie, FL 34953-4541 2015-02-05
1720339559 Jacqueline K Campbell Nurse Practitioner 8988 Lorton Market Street, # 100, Lorton, VA 22079 2012-09-19
1598080681 Jacqueline June Campbell Licensed Practical Nurse 1362 East 87th Street, Brooklyn, NY 11236-5136 2010-03-31
1578785101 Jacqueline M Campbell Nurse Practitioner 473 Alfred Road, Biddeford, ME 04005 2007-05-03
1720401680 Jacqueline Campbell Social Worker 3406 Glacier Hwy, Juneau, AK 99801-9501 2014-01-29
1245570084 Jacqueline Feidler Campbell Nurse Practitioner 166 E Main St, Hendersonville, TN 37075-2520 2013-02-14
1174861843 Jacqueline Kay Campbell Occupational Therapist 213 E Main St, New Bloomfield, PA 17068-9657 2013-01-30
1083967954 Jacqueline Rose Campbell Pharmacist Corner of Routes N12 & N7, Fort Defiance, AZ 86504-0649 2012-10-17
1275892242 Jacqueline A Campbell Recreation Therapist 1100 Blythe Blvd, Charlotte, NC 28203-5814 2012-05-11
1962798264 Jacqueline M Campbell Student in an Organized Health Care Education/Training Program 7162 Reading Rd, Suite 500, Cincinnati, OH 45237-3838 2011-06-24

Office Location

Street Address 308 HAZARD AVE
City ENFIELD
State CT
Zip Code 06082-4613

Providers in the same location

NPI Name Taxonomy Address Enumeration
1538672803 Tracy Maclachlan Massage Therapist 308 Hazard Ave, Enfield, CT 06082-4613 2017-11-09

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1235611674 Danielle Rock Student in an Organized Health Care Education/Training Program 153 Hazard Avenue, Enfield, CT 06082 2018-09-01
1871083980 Alexa Swan Registered Nurse 160 Hazard Avenue, Enfield, CT 06082 2018-05-14
1194236869 Cheryl Anne Gorton Nurse Practitioner 701 Enfield Street Enfield Medical Associates, Enfield, CT 06082 2017-10-20
1639695935 Mw Wellness Viii, LLC Family Medicine 155 Hazard Ave Ste 2, Enfield, CT 06082 2017-08-17
1447770748 Nanas 247 Home Care & Companion Agency LLC Home Health 7g The Hamlet, Enfield, CT 06082 2017-06-27
1366962920 Caroline Laplante Speech-Language Pathologist 12 Trevor Dr, Enfield, CT 06082 2017-06-26
1740722487 Gentle Dental Assoicates PC Clinic/Center 118 Elm Street, Enfield, CT 06082 2016-11-11
1386048007 Michelle Mary Keane-taylor Occupational Therapy Assistant 1157 Enfield Street, Kindred Healthcare @ Parkway Pavilion, Enfield, CT 06082 2014-10-09
1780927517 Kymberly A Lessard Counselor 37 King Court, Enfield, CT 06082 2013-03-29
1790068500 Enfield Pediatric Dentistry LLC Dentist 233 Hazard Avenue, Enfield, CT 06082 2011-09-28
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Taxonomy Information

Taxonomy Code 133V00000X
Grouping Dietary & Nutritional Service Providers
Classification Dietitian, Registered

Taxonomy Definition

A registered dietician (RD) is a food and nutrition expert who has successfully completed a minimum of a bachelor’s degree at a US regionally accredited university or college and course work approved by The American Dietetic Association (ADA); an ADA-accredited or approved, supervised practice program, typically 6 to 12 months in length; a national examination administered by the Commission on Dietetic Registration; and continuing professional educational requirements to maintain registration.
Notes: Source: The American Dietetic Association. Becoming a Registered Dietitian – a food and nutrition expert. Chicago, IL: The American Dietetic Association, July 1997.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1225516305 Darshan J Shah Md LLC Dietitian, Registered 139 Hazard Ave, Bldg #4, Enfield, CT 06082 2018-08-01
1316316813 Lynn Kula Dietitian, Registered 139 Hazard Ave, #4, Enfield, CT 06082-4585 2015-09-15
1861882557 Kathleen Helen Kelley Dietitian, Registered 15 Palomba Dr, 2, Enfield, CT 06082-3888 2015-02-02
1326144973 Rosemarie Thompson, Rd Dietitian, Registered 701 Enfield St, Suite 202, Enfield, CT 06082-2961 2006-09-14
1346346996 Rosemarie Thompson Dietitian, Registered 701 Enfield St, Suite 202, Enfield, CT 06082-2961 2006-09-14

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1437750882 Lauren M Bush Dietitian, Registered 45 S Main St Ste 202, West Hartford, CT 06107-2402 2020-11-03
1528675972 Kathryn Posillico Dietitian, Registered 29 Parker Ave, Stamford, CT 06906-1713 2020-09-29
1013524826 Nicole Nyerick Dietitian, Registered 42 Willow Ct, Southington, CT 06489-3344 2020-09-25
1982211900 Beth Saman Dietitian, Registered 150 Burwell Rd, New Hartford, CT 06057-4111 2020-09-24
1659985307 Kathryn Balone Dietitian, Registered 23 Henry St Apt C, Greenwich, CT 06830-5809 2020-09-01
1952914301 Louisa O'grady Dietitian, Registered 7 Beacon Hill Ter, Shelton, CT 06484-5905 2020-08-26
1245842228 Hannah Yoo Dietitian, Registered 24 Old Farms Xing, Avon, CT 06001-2245 2020-08-20
1922619618 Amy L Rapone Dietitian, Registered 67 Old Post Rd, Tolland, CT 06084-3342 2020-08-14
1700496361 Cristina Gonzalez Dietitian, Registered 83 Morgan St Apt 5j, Stamford, CT 06905-5405 2020-08-07
1568071645 Jillian Anastasia Wanik Dietitian, Registered 48 Sunnyledge St, New Britain, CT 06052-1604 2020-07-24
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Competitor

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City ENFIELD
Zip Code 06082

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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