JACQUELINE A CAMPBELL (NPI# 1275892242) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275892242 |
| Entity Type | Individual |
| Full Name | JACQUELINE A CAMPBELL |
| Credential | LRT |
| Practice Address |
1100 Blythe Blvd Charlotte NC 28203-5814 |
| Practice Telephone | 7043554645 |
| Practice Fax Number | 7043554231 |
| Mailing Telephone | 7043554645 |
| Mailing Fax Number | 7043554231 |
| Enumeration Date | 2012-05-11 |
| Last Update Date | 2012-05-11 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225800000X | Recreation Therapist | NC | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619368180 | Jacqueline Campbell | Counselor | 3189 Sw Fambrough St, Port Saint Lucie, FL 34953-4541 | 2015-02-05 |
| 1033541370 | Jacqueline J Campbell | Dietitian, Registered | 308 Hazard Ave, Enfield, CT 06082-4613 | 2013-08-08 |
| 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 |
| 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 |
| Street Address |
1100 BLYTHE BLVD |
| City | CHARLOTTE |
| State | NC |
| Zip Code | 28203-5814 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902808520 | Michael Watts | Physical Medicine & Rehabilitation | 1100 Blythe Blvd, Charlotte, NC 28203-5814 | 2005-08-12 |
| 1730780800 | Jenni Speight Underwood | Physical Therapist | 1100 Blythe Blvd, Charlotte, NC 28203-5814 | 2020-11-05 |
| 1710588231 | Kirsten Hart Hudgens | Physical Therapist | 1100 Blythe Blvd, Charlotte, NC 28203-5814 | 2020-11-02 |
| 1457958381 | Amanda Nicole Mcgoye | Occupational Therapist | 1100 Blythe Blvd, Charlotte, NC 28203-5814 | 2020-10-05 |
| 1497362859 | Lindsay Jared | Occupational Therapist | 1100 Blythe Blvd, Charlotte, NC 28203-5814 | 2020-09-29 |
| 1225643570 | Lindsey Danielle Smith | Physical Therapist | 1100 Blythe Blvd, Charlotte, NC 28203-5814 | 2020-09-14 |
| 1659985398 | Lori Vanderburg | Speech-Language Pathologist | 1100 Blythe Blvd, Charlotte, NC 28203-5814 | 2020-09-01 |
| 1669099081 | Julia Zubillaga | Psychologist | 1100 Blythe Blvd, Charlotte, NC 28203-5814 | 2020-07-01 |
| 1043839103 | Taylor Marie Gray | Occupational Therapist | 1100 Blythe Blvd, Charlotte, NC 28203-5814 | 2020-04-09 |
| 1992334064 | Jessica Ann Lacy | Physical Therapist | 1100 Blythe Blvd, Charlotte, NC 28203-5814 | 2020-04-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982225983 | William Bedard Michel | Emergency Medicine | Carolina Medical Center, 1000 Blythe Blvd, Charlotte, NC 28203 | 2020-04-30 |
| 1922636927 | Paulina M Kriska | Dentist | Cmc Dental Clinic, 1000 Blythe Blvd, Charlotte, NC 28203 | 2020-03-27 |
| 1386271930 | Irina Maria Geiculescu | Pediatrics | 1000 Blythe Blvd Fl 4 Meb, Charlotte, NC 28203 | 2020-03-24 |
| 1205499316 | James C Winnek | Counselor | 1713 East Blvd., Charlotte, NC 28203 | 2019-04-16 |
| 1487114492 | Laurie Fford Counseling and Consulting Pllc | Counselor | 125 Remount Rd, Suite C-#391, Charlotte, NC 28203 | 2019-03-25 |
| 1184188815 | Sunday Money | Home Health | 2151 Hawkins St., Suite 201, Charlotte, NC 28203 | 2019-01-28 |
| 1164902706 | Lindsay Koonce Helton | Dietitian, Registered | 1218 East Blvd Ste G, Charlotte, NC 28203 | 2018-08-14 |
| 1376057406 | Veritas Collaborative Charlotte, LLC | Clinic/Center | 1900 Scott Avenue, Suite 101, Charlotte, NC 28203 | 2017-11-28 |
| 1043733306 | Kimberly Stripp | Pharmacist | 1300-b East Blvd, Charlotte, NC 28203 | 2017-07-19 |
| 1427570639 | Caroline Kaleel Fogleman | Optometrist | 1710 Kenilworth Ave Ste 210, Charlotte, NC 28203 | 2017-07-10 |
| Find all providers in zip 28203 | ||||
| Taxonomy Code | 225800000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Recreation Therapist |
| A recreation therapist uses recreational activities for intervention in some physical, social or emotional behavior to bring about a desired change in that behavior and promote the growth and development of the patient. |
| Notes: Source: Joel A. DeLisa and Bruce M. Gans, Rehabilitation Medicine: Principles and Practice Second Edition, J.B. Lippincott Company, Philadelphia: 1993, p. 7 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578037073 | Family First Physical Therapy L.L.C. | Recreation Therapist | 2726 Barringer Dr, Charlotte, NC 28208-7008 | 2019-01-17 |
| 1629593454 | Wesley Tyler | Recreation Therapist | 9139b Trinity Rd, Charlotte, NC 28216-1900 | 2017-08-14 |
| 1306088208 | Lexi Kendra | Recreation Therapist | 711 Warren St, Charlotte, MI 48813-1974 | 2009-03-24 |
| 1104185172 | Brittany Allisha Ann Grant | Recreation Therapist | 1100 Blythe Blvd, Charlotte, NC 28203-5814 | 2012-05-11 |
| 1942452081 | Astra L Aker | Recreation Therapist | 1100 Blythe Blvd, Charlotte, NC 28203-5814 | 2008-10-21 |
| 1801043328 | Marquita B Anthony | Recreation Therapist | 1100 Blythe Blvd, Charlotte, NC 28203-5814 | 2008-08-27 |
| 1710134234 | Eileen K Hogan | Recreation Therapist | 1100 Blythe Blvd, Charlotte, NC 28203-5814 | 2008-08-27 |
| 1275780793 | Erin L Kuenn | Recreation Therapist | 1100 Blythe Blvd, Charlotte, NC 28203-5814 | 2008-08-27 |
| 1720108475 | Kina L Marshall | Recreation Therapist | 1100 Blythe Blvd, Charlotte, NC 28203-5814 | 2007-03-29 |
| 1154434330 | Katherine H Smith | Recreation Therapist | 2001 Vail Ave, Charlotte, NC 28207-1219 | 2006-08-15 |
| Find all providers in CHARLOTTE | ||||
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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.