MRS. REBECCA CAMPAU (NPI# 1679096374) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679096374 |
| Entity Type | Individual |
| Full Name | MRS. REBECCA CAMPAU |
| Credential | RN, IBCLC |
| Practice Address |
4985 Lakeshore Rd Fort Gratiot MI 48059 |
| Mailing Address |
4985 Lakeshore Rd Fort Gratiot MI 48059-3541 |
| Practice Telephone | 8106896886 |
| Enumeration Date | 2017-07-25 |
| Last Update Date | 2017-07-25 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WL0100X |
Registered Nurse Specialization: Lactation Consultant |
4704273141 | MI | Nursing Service Providers |
| Street Address |
4985 LAKESHORE RD |
| City | FORT GRATIOT |
| State | MI |
| Zip Code | 48059 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598175481 | David Kelley Sr. | Pharmacist | 4475 24th Ave., Fort Gratiot, MI 48059 | 2014-05-01 |
| 1316110968 | Apheresis and Transfusion Medicine of Port Huron Pllc | Pathology | 4970 Lakeshore Road, Fort Gratiot, MI 48059 | 2008-04-03 |
| 1275754152 | Jennifer Ann Peyerk | Physical Therapist | 3902 Arlington Ave., Fort Gratiot, MI 48059 | 2007-05-01 |
| 1013097278 | Randy John Plonka | Internal Medicine | 5979 Lakeshore, Ft Gratiot, MI 48059 | 2006-10-16 |
| 1881708428 | John Nathan Seppo | Social Worker | 3847 Pine Grove Avenue, Fort Gratiot, MI 48059 | 2006-08-19 |
| 1396756615 | Blue Water Family Dentistry PC | Dentist | 4044 24th Ave, Fort Gratiot, MI 48059 | 2006-08-11 |
| 1720018823 | Minden City Community Healthcare Outreach | Clinic/Center | 28 Deer Creek Drive, Fort Gratiot, MI 48059 | 2006-07-04 |
| 1982103966 | Luke Michael Privette | Physical Therapist | 4351 24th Ave Ste 1, Fort Gratiot, MI 48059 | 2018-02-06 |
| 1194115352 | Rachel Brooks | Chiropractor | 2844 Krafft Rd, Fort Gratiot, MI 48059 | 2015-01-27 |
| 1063697506 | C & T Enterpirses, Inc. | Optometrist | 3957 24th Ave, Fort Gratiot, MI 48059 | 2008-01-03 |
| Find all providers in zip 48059 | ||||
| Taxonomy Code | 163WL0100X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Lactation Consultant |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447851183 | Cynthia Jean Werner | Registered Nurse | 70067 Beach Dr, Edwardsburg, MI 49112-8434 | 2020-11-07 |
| 1790392959 | Theresa Hope Madoun | Registered Nurse | 3362 Parkland Dr, West Bloomfield, MI 48322-1828 | 2020-09-30 |
| 1609491133 | Rebecca Shanahan | Registered Nurse | 3489 W River Rd, Muskegon, MI 49445-9606 | 2020-06-10 |
| 1841814456 | Tara Roberta Sullivan | Registered Nurse | 24808 Boston St, Dearborn, MI 48124-4411 | 2020-05-31 |
| 1861031957 | Rebecca Taylor | Registered Nurse | 3150 Livernois Rd Ste 175, Troy, MI 48083-5058 | 2020-01-06 |
| 1275174484 | Micia Jena Eddins | Registered Nurse | 4217 Aretha Ave, Detroit, MI 48201-1556 | 2019-09-30 |
| 1790248854 | Lactation Home Support LLC | Registered Nurse | 1218 S Forest Dr, Muskegon, MI 49442-4814 | 2019-04-07 |
| 1386119477 | Lisa Marie Levy | Registered Nurse | 520 N Silvery Ln, Dearborn, MI 48128-1538 | 2018-10-04 |
| 1932680717 | Barbara Danielle Demske | Registered Nurse | 269 Roland St, Belleville, MI 48111-2742 | 2018-08-28 |
| 1053800649 | Leontine Wallace | Registered Nurse | 2300 Haggerty Rd Ste 2110, West Bloomfield, MI 48323-2191 | 2018-05-09 |
| Find all providers with the same taxonomy | ||||
| City | FORT GRATIOT |
| Zip Code | 48059 |
Please comment or provide details below to improve the information on MRS. REBECCA CAMPAU.
| 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.