NICOLE LAVON-RENEE CAMPBELL (NPI# 1104452051) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1104452051 |
Entity Type | Individual |
Full Name | NICOLE LAVON-RENEE CAMPBELL |
Credential | CNP |
Practice Address |
1130 Glenna Dr Cincinnati OH 45238-4338 |
Practice Telephone | 9377766884 |
Mailing Telephone | 9377766884 |
Enumeration Date | 2020-03-22 |
Last Update Date | 2020-09-12 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
026298 | OH | Physician Assistants & Advanced Practice Nursing Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
OH | 0408847 | 05 |
Address | Telephone Number | Fax Number |
---|---|---|
1130 Glenna Dr, Cincinnati, OH 452384338 | 9377766884 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1962051078 | Nicole Marie Campbell | Nurse Practitioner | 205 Chaho Rd, Farragut, TN 37934-4643 | 2019-09-11 |
1285164806 | Nicole Campbell | Social Worker | 4501 New Bern Ave Ste 130 #122, Raleigh, NC 27610-1550 | 2017-06-15 |
1538527411 | Nicole Campbell | Physician Assistant | 1050n James Campbell Blvd, Suite 200, Columbia, TN 38401-2754 | 2016-02-05 |
1821461534 | Nicole Campbell | Licensed Practical Nurse | 1460 Route 9w, Marlboro, NY 12542 | 2015-11-03 |
1972833572 | Nicole L Campbell | Social Worker | 6110 Bertram Ave, Baltimore, MD 21214-1827 | 2010-01-04 |
1699840983 | Nicole Lorelee Campbell | Dietitian, Registered | 20 Auburn Ave, Auburn, WA 98002-5404 | 2006-11-21 |
1932713898 | Nicole Campbell | Psychologist | 8115 Gatehouse Rd, Falls Church, VA 22042-1203 | 2020-09-08 |
1689217481 | Nicole Jean Campbell | Social Worker | 126 Cove St, Fall River, MA 02720-1357 | 2019-10-24 |
1326500133 | Nicole Campbell | Counselor | 624 Market Ave N, Canton, OH 44702-1017 | 2019-04-01 |
1164988465 | Nicole Maria Campbell | Nurse Practitioner | 5901 Brick Ct, Winter Park, FL 32792-9392 | 2019-02-12 |
Street Address |
1130 GLENNA DR |
City | CINCINNATI |
State | OH |
Zip Code | 45238-4338 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1548860588 | Corey Allison | Case Manager/Care Coordinator | 312 Glenmore Ave. Ste 14, Cincinnati, OH 45238 | 2020-10-29 |
1366077174 | Lawanda Antoinette Price | Counselor | 5122 Glenway Crossing Way, Cincinnati, OH 45238 | 2020-03-12 |
1639715808 | Bullock Dialysis LLC | Clinic/Center | 2290 Ferguson Rd, Cincinnati, OH 45238 | 2019-11-22 |
1629547021 | Abigail M Rebholz | Speech-Language Pathologist | 2039 Anderson Ferry Rd, Cincinnati, OH 45238 | 2018-11-15 |
1942667548 | Lashawnda C Gaston | Military Health Care Provider | 1322 Le Mar Dr, Cincinnati, OH 45238 | 2016-01-27 |
1134598402 | Abbie Crookham | Registered Nurse | 2146 Ferguson Rd., Cincinnati, OH 45238 | 2015-09-17 |
1518341346 | Kenyatta Shena Mccrary | Home Health Aide | 831 Greenwich Ave, Cincinnati, OH 45238 | 2015-07-10 |
1225431893 | Brooke Whalen | Dental Assistant | 2146 Ferguson Road, Cincinnati, OH 45238 | 2014-09-26 |
1669885588 | Moussa Demba | Medicare Defined Swing Bed Unit | 2484 Queen City Ave Apt 7, Cincinnati, OH 45238 | 2014-06-09 |
1811335961 | Kelly G Mirus | Specialist/Technologist | 5161 Ralph Ave, Cincinnati, OH 45238 | 2013-06-11 |
Find all providers in zip 45238 |
Taxonomy Code | 363LF0000X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Family |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1770184681 | Madison Baxter | Nurse Practitioner | 2730 Hyde Park Ave, Cincinnati, OH 45209-2004 | 2020-11-06 |
1225635584 | Charlene Hines | Nurse Practitioner | 495 Albion Ave, Cincinnati, OH 45246-4604 | 2020-10-08 |
1770199598 | Ashley Nicole Dishion | Nurse Practitioner | 3537 Greenview Way, Cincinnati, OH 45245-3367 | 2020-09-17 |
1023624814 | Sarah Taylor Kaiser | Nurse Practitioner | 6401 Timberhill Ct, Cincinnati, OH 45233-4576 | 2020-09-17 |
1881204501 | Carrie Ann Mofield | Nurse Practitioner | 3680 Jeffrey Ct, Cincinnati, OH 45236-1544 | 2020-08-06 |
1487289591 | Whitney Ann Gallaher | Nurse Practitioner | 4217 Tower Ave, Cincinnati, OH 45217-4521 | 2020-03-09 |
1215575436 | Carol S Grimm | Nurse Practitioner | 5702 Bridgetown Rd Apt 8, Street Address 2, Cincinnati, OH 45248 | 2019-12-18 |
1598301756 | Danielle Miller | Nurse Practitioner | 10229 Winstead Ln, Cincinnati, OH 45231-2719 | 2019-11-22 |
1679124820 | Jennifer Ann Fenwick | Nurse Practitioner | 7907 Buckeye Cres, Cincinnati, OH 45243-1942 | 2019-09-27 |
1063062966 | Ashlee Campton | Nurse Practitioner | 6755 5 Mile Rd, Cincinnati, OH 45230-3741 | 2019-09-13 |
Find all providers in CINCINNATI |
City | CINCINNATI |
Zip Code | 45238 |
Please comment or provide details below to improve the information on NICOLE LAVON-RENEE CAMPBELL.
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.