MR. LYNDALE DEWAYNE CAMPBELL (NPI# 1205166576) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1205166576 |
Entity Type | Individual |
Full Name | MR. LYNDALE DEWAYNE CAMPBELL |
Credential | LMT, RN |
Practice Address |
175 N Westside Ave Littlefield TX 79339-2510 |
Practice Telephone | 8066380359 |
Mailing Telephone | 8066380359 |
Enumeration Date | 2010-01-07 |
Last Update Date | 2010-01-07 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 163WM1400X |
Registered Nurse Specialization: Nurse Massage Therapist (NMT) |
616727 | TX | Nursing Service Providers |
Y | 225700000X | Massage Therapist | MT020006 | TX | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
TX | DRIVERS LICENSE | 08614014 | 01 |
TX | REGISTERED NURSE LICENSE | 616727 | 01 |
TX | MASSAGE THERAPY LICENSE | MT020006 | 01 |
Street Address |
175 N WESTSIDE AVE |
City | LITTLEFIELD |
State | TX |
Zip Code | 79339-2510 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1609904804 | Jf Hospitality Inc | Skilled Nursing Facility | 1609 W. Waylon Jennings Blvd, Littlefield, TX 79339 | 2007-03-01 |
1932609443 | Amberly Renea Collier | Licensed Vocational Nurse | 1404 Burleson St, Littlefield, TX 79339-2102 | 2018-02-20 |
1215464748 | Crystal Ulibarri | Social Worker | 1307 W 6th St, Littlefield, TX 79339-3027 | 2017-05-15 |
1467010538 | Peggy Jaramillo | Licensed Vocational Nurse | 411 S Wicker Ave, Littlefield, TX 79339-3041 | 2019-06-03 |
1437762762 | Soul's Retreat, Pllc | Psychologist | 232 Phelps Ave, Littlefield, TX 79339-3428 | 2020-08-26 |
1306459631 | Laura Ann Locke | Counselor | 232 Phelps Ave, Littlefield, TX 79339-3428 | 2020-08-26 |
1154568616 | Gfg Management Services, LLC | Skilled Nursing Facility | 1609 W. Waylon Jennings Blvd., Littlefield, TX 79339-3716 | 2009-01-20 |
1821537598 | Mpd Operators Littlefield LLC | Skilled Nursing Facility | 1609 W Waylon Jennings Blvd, Littlefield, TX 79339-3729 | 2017-02-15 |
1952477614 | Pay and Save Inc | Pharmacy | 102 W Waylon Jennings Blvd, Littlefield, TX 79339-3806 | 2006-11-27 |
1073730206 | William P. Flanary | Pharmacist | 102 W Waylon Jennings Blvd, Littlefield, TX 79339-3806 | 2007-04-19 |
Find all providers in zip 79339 |
Taxonomy Code | 225700000X |
Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Classification | Massage Therapist |
An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1083215743 | Stephanie S Bell | Massage Therapist | 5415 Parry Ave, Dallas, TX 75223-1856 | 2020-11-07 |
1437750239 | Vincent Trinh | Massage Therapist | 8219 La Roche Ln, Houston, TX 77036-7305 | 2020-11-06 |
1295336691 | Emily Burris | Massage Therapist | 1202 Juniper, Princeton, TX 75407-2867 | 2020-11-03 |
1790386043 | Julian Denman | Massage Therapist | 4009 Victory Dr Apt C311, Austin, TX 78704-7588 | 2020-11-03 |
1154922474 | Shavana Williams | Massage Therapist | 3787 Perrin Central Blvd Apt 927, San Antonio, TX 78217-2822 | 2020-11-03 |
1821698960 | Whivolyn Thomas | Massage Therapist | 3939 Synott Rd Apt 402, Houston, TX 77082-5231 | 2020-10-28 |
1790385730 | Beatriz Y Ogarek | Massage Therapist | 9945 Barker Cypress Rd Ste 200, Cypress, TX 77433-5319 | 2020-10-28 |
1598364002 | Angelique Bella | Massage Therapist | 2832 Rush Creek Rd, Mckinney, TX 75072-7224 | 2020-10-26 |
1770182255 | Tyana Washington | Massage Therapist | 1018 Port Neches Dr, Little Elm, TX 75068-5935 | 2020-10-26 |
1235738717 | Daniel Peterson | Massage Therapist | 5800 Brodie Ln Apt 216, Austin, TX 78745-2530 | 2020-10-26 |
Find all providers with the same taxonomy |
City | LITTLEFIELD |
Zip Code | 79339 |
Please comment or provide details below to improve the information on MR. LYNDALE DEWAYNE 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.