JEANNIE MARIE CAMPBELL (NPI# 1619410271) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619410271 |
| Entity Type | Individual |
| Full Name | JEANNIE MARIE CAMPBELL |
| Credential | SLP-ASSISTANT |
| Practice Address |
8101 Boat Club Rd Suite 160 Fort Worth TX 76179-3630 |
| Mailing Address |
2801 Live Oak St 6409 Dallas TX 75204-5711 |
| Practice Telephone | 2143029725 |
| Practice Fax Number | 2149352457 |
| Enumeration Date | 2016-11-29 |
| Last Update Date | 2016-11-29 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2355S0801X |
Specialist/Technologist Specialization: Speech-Language Assistant |
35271 | TX | Speech, Language and Hearing Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336285238 | Jeannie Mood Campbell | Marriage & Family Therapist | 60575 Billadeau Rd, Bend, OR 97702-9338 | 2007-01-29 |
| Street Address |
8101 BOAT CLUB RD SUITE 160 |
| City | FORT WORTH |
| State | TX |
| Zip Code | 76179-3630 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790143113 | Talking Tadpoles, LLC | Occupational Therapist | 8101 Boat Club Rd, Suite 160, Fort Worth, TX 76179-3630 | 2016-01-29 |
| 1528558814 | Allsprings Global Solutions | Non-emergency Medical Transport (VAN) | 8101 Boat Club Rd, Fort Worth, TX 76179-3630 | 2018-05-13 |
| 1518490762 | Tadpoles Pediatric Therapy | Speech-Language Pathologist | 8101 Boat Club Rd, Suite 160, Fort Worth, TX 76179-3630 | 2017-04-05 |
| 1881130409 | Loren Tacker | Specialist/Technologist | 8101 Boat Club Rd, Suite 160, Fort Worth, TX 76179-3630 | 2017-01-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992347215 | Katherine M Wright | Behavior Technician | 5804 Boat Club Road, Fort Worth, TX 76179 | 2019-10-09 |
| 1982245775 | Makaylin Rene Mayes | Behavior Technician | 5804 Boat Club Rd, Fort Worth, TX 76179 | 2019-10-02 |
| 1881246049 | Renkuntla Pllc | Dentist | 240 S Saginaw Blvd, Saginaw, TX 76179 | 2019-07-09 |
| 1376062026 | Michele Ann Taylor | Massage Therapist | 6352 Stone Lake Drive, Fort Worth, TX 76179 | 2017-09-13 |
| 1649796921 | Amanda Williams | Music Therapist | 6212 Rocky Point Trail, Lake Worth, TX 76179 | 2017-08-17 |
| 1912437922 | Dentists of Eagle Mountain, PC | Dentist | 4624 West Bailey Boswell Road, Suite 200, Fort Worth, TX 76179 | 2017-06-13 |
| 1982059283 | 11th Hour Counseling | Social Worker | 949 Sherry Ln, Saginaw, TX 76179 | 2016-04-25 |
| 1114307212 | Stephanie Lee Beavers | Chiropractor | 524 Buckstone Dr., Saginaw, TX 76179 | 2015-06-03 |
| 1760885297 | Kali Nagabalaji | Pharmacy | 200 W J Boaz Rd, Ste 100, Saginaw, TX 76179 | 2014-09-29 |
| 1750794541 | Julie Norwood | Dentist | 1453 N. Saginaw Blvd., Suite 150, Saginaw, TX 76179 | 2014-06-09 |
| Find all providers in zip 76179 | ||||
| Taxonomy Code | 2355S0801X |
| Grouping | Speech, Language and Hearing Service Providers |
| Classification | Specialist/Technologist |
| Specialization | Speech-Language Assistant |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134726151 | Autumn Kelsey Lee | Specialist/Technologist | 250 Bens Trl Apt 522, Fort Worth, TX 76120-7000 | 2020-10-02 |
| 1134737448 | Jacqueline Marie Martinez | Specialist/Technologist | 1605 Grady Lee St, Fort Worth, TX 76134-1115 | 2020-07-22 |
| 1316571003 | Sharee Nicole Cupp | Specialist/Technologist | 6530 Hawks Creek Ct Ste 107, Fort Worth, TX 76114-1164 | 2020-03-03 |
| 1194370817 | Leslie Loredo | Specialist/Technologist | 5801 Winifred Dr, Fort Worth, TX 76133-2707 | 2019-08-08 |
| 1689156317 | Tiesha Jacquel Swanier | Specialist/Technologist | 3800 W Risinger Rd, Fort Worth, TX 76123-2346 | 2018-08-29 |
| 1316442916 | Keldra Warren | Specialist/Technologist | 6900 Bayberry Dr, Fort Worth, TX 76137-1740 | 2018-03-26 |
| 1245755438 | Felisa Lopez Martinez | Specialist/Technologist | 3103 Strong Ave, Fort Worth, TX 76105-3946 | 2017-08-08 |
| 1639547979 | Irene Belmontes | Specialist/Technologist | 1000 St. Louis, 102, Fort Worth, TX 76104 | 2015-09-03 |
| 1467713750 | Speech Divas | Specialist/Technologist | 4229 Periwinkle Dr, Fort Worth, TX 76137-3013 | 2012-06-03 |
| 1568665024 | Liliana Salgado | Specialist/Technologist | 3800 El Campo Ave, Fort Worth, TX 76107-4515 | 2007-06-11 |
| Find all providers in FORT WORTH | ||||
| City | FORT WORTH |
| Zip Code | 76179 |
Please comment or provide details below to improve the information on JEANNIE MARIE 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.