DR. JUDITH L CAMPBELL (NPI# 1497019715) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497019715 |
| Entity Type | Individual |
| Full Name | DR. JUDITH L CAMPBELL |
| Credential | PHD, BSN, RN, CARN |
| Practice Address |
5914 Ravine Drive Waxhaw NC 28173 |
| Practice Telephone | 9404535099 |
| Mailing Telephone | 9404535099 |
| Enumeration Date | 2012-07-02 |
| Last Update Date | 2018-07-16 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163W00000X | Registered Nurse | 691134 | TX | Nursing Service Providers |
| N | 163WA0400X |
Registered Nurse Specialization: Addiction (Substance Use Disorder) |
691134 | TX | Nursing Service Providers |
| Y | 163WP0808X |
Registered Nurse Specialization: Psych/Mental Health |
302197 | NC | Nursing Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KS | CARN - CERTIFIED ADDICTIONS REGISTERED NURSE | 10287 | 01 |
| TX | MEDICARE | 1497019715 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144636150 | Judith Campbell | Psychologist | 625 Sayre Ave, Lexington, KY 40508-2317 | 2014-07-10 |
| 1619210580 | Judith Ann Campbell | Social Worker | 8930 Stanford Boulevard, Columbia, MD 21045 | 2013-03-29 |
| 1972817187 | Judith B Campbell | Speech-Language Pathologist | 3207 Rosemont Dr, Chattanooga, TN 37411-4219 | 2010-07-29 |
| 1982845798 | Judith V Campbell | Counselor | 2339 Cedar Rdg, Suite 4, Green Bay, WI 54313-5700 | 2009-03-09 |
| 1831264076 | Judith Lowe Campbell | Psychiatry & Neurology | 1500 North Ritter Avenue, Indianapolis, IN 46219-3027 | 2006-11-22 |
| 1861572299 | Judith Campbell | Pediatrics | 6701 Fannin St, Houston, TX 77030-2316 | 2006-10-17 |
| 1568495927 | Judith Mary Campbell | Family Medicine | 109 S Minnesota St, North Valley Health Center, Warren, MN 56762-1428 | 2006-07-09 |
| 1477555332 | Judith P Campbell | Counselor | 3300 Rivermont Ave, Lynchburg, VA 24503-2030 | 2005-08-11 |
| Street Address |
5914 RAVINE DRIVE |
| City | WAXHAW |
| State | NC |
| Zip Code | 28173 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033733175 | Publix North Carolina, Lp | Durable Medical Equipment & Medical Supplies | 1615 Providence Road South, Marvin, NC 28173 | 2020-06-04 |
| 1225507320 | Shane Markey Dds Ms Pllc | Dentist | 8412 New Town Rd Ste A, Waxhaw, NC 28173 | 2018-11-19 |
| 1336631514 | Suganya Nelatoor,d.d.s.,p.l.l.c. | Clinic/Center | 102 E Waxhaw Professional Park Drive, Waxhaw, NC 28173 | 2018-06-04 |
| 1184120750 | Restore Healthcare Medical Group | Counselor | 500 Waxhaw Professional Park Drive, Ste 105 F, Waxhaw, NC 28173 | 2018-04-03 |
| 1730690827 | Concrete Roses Consulting | Community/Behavioral Health | 5960 Fairview Road, 323, Charlotte, NC 28173 | 2017-10-17 |
| 1861849523 | Kayla Selena Caldwell | Social Worker | 3908 Rev. H. Morrison Rd., Waxhaw, NC 28173 | 2016-05-23 |
| 1588023782 | Teri Hipp | Counselor | 101-e Waxhaw Professional Park Drive, Waxhaw, NC 28173 | 2016-02-16 |
| 1710355508 | Caresmatic Phase 1,inc. | Assisted Living Facility | 520 Pembroke Ln., Waxhaw, NC 28173 | 2015-09-10 |
| 1437564838 | Anna Waddell Schneiderman | Counselor | 104 Waxhaw Professional Park Drive, Waxhaw, NC 28173 | 2014-06-24 |
| 1467892109 | Samantha Weidele Waldman | Counselor | 9929 Rea Rd Ste 201, Waxhaw, NC 28173 | 2013-06-26 |
| Find all providers in zip 28173 | ||||
| Taxonomy Code | 163WP0808X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508463035 | Elizabeth Covert | Registered Nurse | 83 Covert Rd, Old Fort, NC 28762-7872 | 2020-10-07 |
| 1265044218 | Lolade Ogunleye | Registered Nurse | 101 Mannin Drive, Chapel Hill, NC 27514-1660 | 2020-08-20 |
| 1316578388 | Judylyn Hobson | Registered Nurse | Pride In North Carolina, LLC, 3886 Henderson Dr, Jacksonville, NC 28546 | 2020-01-29 |
| 1861954349 | Kayla Nicole Flieger | Registered Nurse | 119 Sonia Drive, Hubert, NC 28539 | 2019-04-03 |
| 1316493174 | Maria Mercedes Evangelista | Registered Nurse | 8044 Hartham Park Ave, Raleigh, NC 27616-9302 | 2016-08-31 |
| 1053718072 | Brown's Goldencare | Registered Nurse | 207 Morven Road, Wadesboro, NC 28170 | 2014-11-20 |
| 1326378035 | Tina Nowak | Registered Nurse | 501 S Broad St, Brevard, NC 28712-4044 | 2009-12-31 |
| 1942421508 | Benjamin Joseph Mastridge | Registered Nurse | 402 North Main St, Creedmoor, NC 27522-8815 | 2007-05-01 |
| 1073739876 | Judy S. Ayers | Registered Nurse | 2563 Eric Ln, K, Burlington, NC 27215-4303 | 2007-04-18 |
| 1164550406 | Edith M. Chance | Registered Nurse | 4913 Forbush Rd, East Bend, NC 27018-7855 | 2007-02-28 |
| 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.