ELIZABETH CAMPO (NPI# 1134753841) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1134753841 |
Entity Type | Individual |
Full Name | ELIZABETH CAMPO |
Credential | RD,LDN |
Practice Address |
101 Dudley St Providence RI 02905-2499 |
Practice Telephone | 4012741122 |
Mailing Telephone | 4012741122 |
Enumeration Date | 2020-03-03 |
Last Update Date | 2020-03-03 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 133VN1004X |
Dietitian, Registered Specialization: Nutrition, Pediatric |
RI | Dietary & Nutritional Service Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
RI | LDN720331 | 05 |
Street Address |
101 DUDLEY ST |
City | PROVIDENCE |
State | RI |
Zip Code | 02905-2499 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1083613244 | Martin Keszler | Pediatrics | 101 Dudley St, Providence, RI 02905-2401 | 2005-07-20 |
1326647959 | Deborah Ruth Shaffer | Advanced Practice Midwife | 101 Dudley St, Providence, RI 02905-2401 | 2020-10-24 |
1104449891 | Women & Infants Hospital of Rhode Island | Clinical Medical Laboratory | 101 Dudley St, Providence, RI 02905-2401 | 2020-05-28 |
1235751959 | Katherine Mariah Crawford | Genetic Counselor, MS | 101 Dudley St, Providence, RI 02905-2401 | 2020-05-15 |
1265061089 | Cassie Laurine Hobbs | Student in an Organized Health Care Education/Training Program | 101 Dudley St, Providence, RI 02905-2401 | 2020-04-03 |
1336776343 | Ogechukwu Francisca Uwanaka | Obstetrics & Gynecology | 101 Dudley St, Providence, RI 02905-2401 | 2020-03-27 |
1841827193 | Patricia Giglio Ayers | Obstetrics & Gynecology | 101 Dudley St, Providence, RI 02905-2401 | 2020-03-26 |
1205463783 | Alicia Marina Youssef | Obstetrics & Gynecology | 101 Dudley St, Providence, RI 02905-2401 | 2020-03-25 |
1912534330 | Alicia Esther Hersey | Obstetrics & Gynecology | 101 Dudley St, Providence, RI 02905-2401 | 2020-03-25 |
1932736220 | Allan Bo Huang | Student in an Organized Health Care Education/Training Program | 101 Dudley St, Providence, RI 02905-2499 | 2020-03-25 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1477100808 | Raisa Emilia Garcia-diaz | Counselor | 66 Pavilion Avenue, Providence, RI 02905 | 2019-08-21 |
1962976571 | Nike A. Kendall | Social Worker | Program In Women's Oncology, 101 Dudley Street, Providence, RI 02905 | 2019-01-16 |
1891265443 | Carolyn Te Young | Pathology | 1320 Narragansett Blvd, Cranston, RI 02905 | 2018-11-27 |
1417427071 | Julianne Elizabeth Houtchens | Dietitian, Registered | Adult Primary Care 245 Chapman Street, Providence, RI 02905 | 2018-11-27 |
1922577394 | Dilenia C Cruz | Health Educator | 335r Prairie Ave., Suite 2b, Providence, RI 02905 | 2018-11-15 |
1639653116 | Varina S. Gunn | Health Educator | 335r Prarie Ave., Suite 2b, Providence, RI 02905 | 2018-09-20 |
1427590421 | Cardea Healthcare LLC | In Home Supportive Care | 100 Pavilion Avenue, Suite 101, Providence, RI 02905 | 2016-11-08 |
1265884597 | Maxwell King | Physical Therapy Assistant | 48 Moorland Avenue, Cranston, RI 02905 | 2016-07-11 |
1346698024 | Samantha Lea Colli | Physician Assistant | 100 Dudley St Fl 3, Providence, RI 02905 | 2016-06-02 |
1346697448 | Amy Jean Simpson | Marriage & Family Therapist | 1981 Broad Street, Cranston, RI 02905 | 2016-05-18 |
Find all providers in zip 02905 |
Taxonomy Code | 133VN1004X |
Grouping | Dietary & Nutritional Service Providers |
Classification | Dietitian, Registered |
Specialization | Nutrition, Pediatric |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1912924093 | Beth A Pinkos | Dietitian, Registered | 593 Eddy St # Mph-126, Providence, RI 02903-4923 | 2006-07-16 |
1891274932 | Daniel Olbrych | Dietitian, Registered | 111 Plain St, Providence, RI 02903-4816 | 2018-08-09 |
1538669585 | Kristen Perrella | Dietitian, Registered | 111 Plain St, Providence, RI 02903-4816 | 2018-02-16 |
1881106920 | Lauren Lee Gould | Dietitian, Registered | 593 Eddy St, Providence, RI 02903-4923 | 2017-10-30 |
1154863132 | Kaitlyn Ware | Dietitian, Registered | 593 Eddy Street, Rhode Island Hospital, Providence, RI 02903-4923 | 2016-11-08 |
1750833216 | Jenna Polselli | Dietitian, Registered | 593 Eddy St, Providence, RI 02903-4923 | 2016-11-01 |
1912338898 | Colleen Lynch | Dietitian, Registered | 593 Eddy St, Providence, RI 02903-4923 | 2013-12-03 |
1710316559 | Katelyn Chopy | Dietitian, Registered | 593 Eddy St, Hasbro Children's Hospital Room 502, Providence, RI 02903-4923 | 2013-11-02 |
1518391572 | Anna Rozanova | Dietitian, Registered | 593 Eddy St, Providence, RI 02903-4923 | 2013-08-27 |
1053744011 | Julia N. O'brien | Dietitian, Registered | 593 Eddy St, Providence, RI 02903-4923 | 2013-08-14 |
Find all providers in PROVIDENCE |
City | PROVIDENCE |
Zip Code | 02905 |
Please comment or provide details below to improve the information on ELIZABETH CAMPO.
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.