MS. SUSAN DIANE CAMPBELL (NPI# 1063524114) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063524114 |
| Entity Type | Individual |
| Full Name | MS. SUSAN DIANE CAMPBELL |
| Credential | APRN,BS |
| Practice Address |
3340 Woodburn Rd Annandale VA 22003-1202 |
| Mailing Address |
9104 Roaring Spring Loop Bristow VA 20136-2109 |
| Practice Telephone | 7032892781 |
| Practice Fax Number | 7032892764 |
| Mailing Telephone | 7033921078 |
| Mailing Fax Number | 7032892764 |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 364SP0809X |
Clinical Nurse Specialist Specialization: Psych/Mental Health, Adult |
0015000809 | VA | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356596605 | Susan Adams Campbell | Occupational Therapist | 205 Albemarle Rd, Brooklyn, NY 11218-2307 | 2008-11-28 |
| 1669660577 | Susan Elizabeth Campbell | Licensed Practical Nurse | 93 Lyndale Dr, Painesville, OH 44077-4939 | 2007-10-05 |
| 1568688281 | Susan A. Campbell | Acupuncturist | 3038 Fawnwood Dr, Ellicott City, MD 21042-2322 | 2007-04-18 |
| 1740308329 | Susan Louise Campbell | Dietitian, Registered | 6900 Ulmerton Rd, #51, Largo, FL 33771-4948 | 2007-03-26 |
| 1417061789 | Susan S. Campbell | Counselor | 965 S 100 W Ste 203, Logan, UT 84321-6071 | 2006-08-17 |
| 1134136625 | Susan B. Campbell | Pediatrics | 2201 Murphy Ave Suite 207, Nashville, TN 37203-1538 | 2006-08-01 |
| 1063413029 | Susan L Campbell | Advanced Practice Midwife | 2131 East State St., Athens, OH 45701 | 2005-08-02 |
| 1669005815 | Susan Marie Campbell | Occupational Therapist | 3452 Lake Lynda Dr Ste 200, Orlando, FL 32817-1481 | 2020-02-17 |
| 1891337952 | Susan Campbell | Nurse Practitioner | 30 Lafayette Sq Ste 109, Vernon, CT 06066-4554 | 2019-10-10 |
| 1972950939 | Susan Campbell | Nurse Practitioner | 1376 Highway 36, Hazlet, NJ 07730-1716 | 2016-05-19 |
| Street Address |
3340 WOODBURN RD |
| City | ANNANDALE |
| State | VA |
| Zip Code | 22003-1202 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558389429 | Kimberly Sue Close-jensen | Social Worker | 3340 Woodburn Rd, Annandale, VA 22003-1202 | 2006-07-18 |
| 1366844383 | Joanna Turner | Social Worker | 3340 Woodburn Rd, Annandale, VA 22003-1202 | 2014-09-22 |
| 1437578325 | Kimberly Berlin | Registered Nurse | 3340 Woodburn Rd, Annandale, VA 22003-1202 | 2014-04-08 |
| 1104169192 | Megghan K Thompson | Counselor | 3340 Woodburn Rd, Annandale, VA 22003-1202 | 2013-03-28 |
| 1306197249 | Lisa D'alessio | Counselor | 3340 Woodburn Rd, Annandale, VA 22003-1202 | 2012-10-01 |
| 1164795571 | Fatma Mohammad Mekki | Counselor | 3340 Woodburn Rd, Annandale, VA 22003-1202 | 2012-02-15 |
| 1639469166 | Corey Thornton | Social Worker | 3340 Woodburn Rd, Annandale, VA 22003-1202 | 2011-04-18 |
| 1073841888 | Neva S. Ortuno | Counselor | 3340 Woodburn Rd, Annandale, VA 22003-1202 | 2009-12-07 |
| 1538391701 | Eleanor H Barber | Counselor | 3340 Woodburn Rd, Annandale, VA 22003-1202 | 2009-08-20 |
| 1245461102 | Jacqueline Carroll Armstrong | Counselor | 3340 Woodburn Rd, Woodburn Center, Annandale, VA 22003 | 2009-07-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932741758 | Lien Hong Do | Pharmacist | 4014 Thornton Street, Annandale, VA 22003 | 2019-10-14 |
| 1639655376 | Brian D Blincoe | Military Health Care Provider | 7207 Masonville Drive, Annandale, VA 22003 | 2018-07-16 |
| 1790201481 | Mid Atlantic Plastic Surgeons LLC | Plastic Surgery | 3301 Woodburn Road, Suite 202, Annandale, VA 22003 | 2017-08-15 |
| 1053841668 | Rosalie Zuniga | Social Worker | 6800 Algonquin Court, Annandale, VA 22003 | 2017-06-15 |
| 1386179133 | Adaptive Care LLC | In Home Supportive Care | 4603 Logsdon Drive, Annandale, VA 22003 | 2017-04-28 |
| 1457808933 | Evergreen Foot and Ankle LLC | Podiatrist | 6928 Little River Turnpike, Suite B, Annandale, VA 22003 | 2016-09-01 |
| 1093165672 | Brightview Fairfax, LLC | Alzheimer Center (Dementia Center) | 3450 Gallows Road, Annandale, VA 22003 | 2016-06-15 |
| 1063867844 | Sports Care Acupuncture Clinic, LLC | Acupuncturist | 7535 Little River Tnpk #103a, Annandale, VA 22003 | 2016-04-28 |
| 1578925806 | Nu Dimensions, LLC | Day Training, Developmentally Disabled Services | 3602 Balin Ct, Annandale, VA 22003 | 2016-03-25 |
| 1932505641 | Julia Jiyoung Lee | Acupuncturist | 7535 Little River Tnpk, Suite 103a, Annandale, VA 22003 | 2014-11-06 |
| Find all providers in zip 22003 | ||||
| Taxonomy Code | 364SP0809X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Clinical Nurse Specialist |
| Specialization | Psych/Mental Health, Adult |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578744371 | Judith Arlene Yoder | Clinical Nurse Specialist | 3340 Woodburn Rd, Annandale, VA 22003-1202 | 2007-11-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003145152 | Julie Russell | Clinical Nurse Specialist | 5597 Cedar Break Dr, Centreville, VA 20120-3329 | 2009-12-21 |
| 1730412214 | Karen Shatkin Bloomfield | Clinical Nurse Specialist | 1877 Pine Cone Cir, Charlottesville, VA 22901-8932 | 2009-09-15 |
| 1710028030 | Marilyn Augustine Williamson | Clinical Nurse Specialist | 101 Hemlock Ct, Sterling, VA 20164-2115 | 2007-02-09 |
| 1508905647 | Mary Jane Nelson | Clinical Nurse Specialist | 1725 N George Mason Drive, Arlington, VA 22205 | 2007-02-05 |
| 1528169406 | Linda D Grey | Clinical Nurse Specialist | 131 Great Falls St, Suite 101, Falls Church, VA 22046-3445 | 2006-09-26 |
| 1144241662 | Margaret Glenna Doyle | Clinical Nurse Specialist | 54 E Lee St, Warrenton, VA 20186-3325 | 2006-07-21 |
| 1598783946 | Michele L Zimmerman | Clinical Nurse Specialist | 420 N Center Dr Suite 141, Interstate Corporate Center Building 11, Norfolk, VA 23502 | 2006-07-17 |
| 1366448029 | Ellen Christine Redling | Clinical Nurse Specialist | 44355 Premier Plz, Suite 120, Ashburn, VA 20147-5049 | 2005-06-27 |
| 1679992358 | Dickenson Community Hospital, Inc. | Clinical Nurse Specialist | 364 Hospital Dr, Clintwood, VA 24228 | 2014-04-10 |
| 1588945018 | Marion Louise Kyner | Clinical Nurse Specialist | 2003 Cobb St, Farmville, VA 23901-2603 | 2011-08-29 |
| Find all providers with the same taxonomy | ||||
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| 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.