DR. AUDREY L CAMPBELL (NPI# 1780816447) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780816447 |
| Entity Type | Individual |
| Full Name | DR. AUDREY L CAMPBELL |
| Credential | DO |
| Practice Address |
301 Med Tech Pkwy Ste 240 Johnson City TN 37604-2641 |
| Mailing Address |
215 E Springbrook Dr Johnson City TN 37601-1761 |
| Practice Telephone | 4237945520 |
| Practice Fax Number | 4232826940 |
| Mailing Telephone | 4237945520 |
| Mailing Fax Number | 4232826940 |
| Enumeration Date | 2009-08-13 |
| Last Update Date | 2020-04-27 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | 2439 | TN | Allopathic & Osteopathic Physicians |
| N | 207R00000X | Internal Medicine | 0116021790 | VA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 1780816447 | 05 | |
| TN | Q000732 | 05 | |
| VA | 1780816447 | 05 | |
| KY | 7100238500 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 2000 Brookside Dr, 3rd Floor, Kingsport, TN 376604627 | 4238575905 | 4238575904 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669956884 | Audrey Campbell | Nurse Practitioner | 111 New Rd, Tabernacle, NJ 08088-8549 | 2018-09-24 |
| 1588904486 | Audrey Campbell | Social Worker | 2000 W Pioneer Pkwy Ste 6, Peoria, IL 61615-1883 | 2013-03-01 |
| 1346852449 | Audrey Campbell | Behavior Technician | 5333 Mission Center Rd Ste 110, San Diego, CA 92108-1347 | 2020-08-19 |
| 1841827342 | Audrey Campbell | Behavior Technician | 9370 W Stockton Blvd Ste 100, Elk Grove, CA 95758-8013 | 2020-03-25 |
| 1265898423 | Audrey Campbell | Massage Therapist | 800 Kensington Ave Ste 201, Missoula, MT 59801-5670 | 2016-01-04 |
| 1245608116 | Audrey Campbell | Physical Therapy Assistant | 1311 Wakarusa Dr Ste 1000, Lawrence, KS 66049-1741 | 2015-09-09 |
| 1881945434 | Audrey Campbell | Community Health Worker | 900 W 1st St, Ste.200, Reno, NV 89503-5675 | 2012-09-23 |
| 1255543369 | Audrey J Campbell | Social Worker | 4495 W Hacienda Ave Ste 7, Las Vegas, NV 89118-1541 | 2007-05-03 |
| Street Address |
301 MED TECH PKWY STE 240 |
| City | JOHNSON CITY |
| State | TN |
| Zip Code | 37604-2641 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366471641 | Rachel E Keyt | Physician Assistant | 301 Med Tech Pkwy Ste 240, Johnson City, TN 37604-2641 | 2006-06-30 |
| 1528673225 | Mary L Trenda | Dietitian, Registered | 301 Med Tech Pkwy Ste 240, Johnson City, TN 37604-2641 | 2020-09-10 |
| 1205446457 | Katelyn Elizabeth Watts | Physician Assistant | 301 Med Tech Pkwy Ste 240, Johnson City, TN 37604-2641 | 2020-08-03 |
| 1427681899 | Jennifer L Reedy | Nurse Practitioner | 301 Med Tech Pkwy Ste 240, Johnson City, TN 37604-2641 | 2020-02-13 |
| 1033749486 | Alicia Leeann Pugh | Nurse Practitioner | 301 Med Tech Pkwy Ste 240, Johnson City, TN 37604-2641 | 2020-01-23 |
| 1083270771 | Kristin A Patchell | Nurse Practitioner | 301 Med Tech Pkwy Ste 240, Johnson City, TN 37604-2641 | 2019-05-17 |
| 1205390747 | Judith L Day | Registered Nurse | 301 Med Tech Pkwy Ste 240, Johnson City, TN 37604-2641 | 2019-01-29 |
| 1568926004 | Mary J Shephard | Dietitian, Registered | 301 Med Tech Pkwy Ste 240, Johnson City, TN 37604-2641 | 2019-01-29 |
| 1861967465 | Leah E Merrick | Nurse Practitioner | 301 Med Tech Pkwy Ste 240, Johnson City, TN 37604-2641 | 2018-10-10 |
| 1346726775 | Alexandria R Hill | Nurse Practitioner | 301 Med Tech Pkwy Ste 240, Johnson City, TN 37604-2641 | 2018-07-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417560707 | Brant Logan Nickens | Physical Therapist | 809 Lamont St and Veterans Way, Johnson City, TN 37604 | 2020-08-26 |
| 1952911562 | David Sandlin Hobbs | Pharmacist | Lamont St &, Veterans Way, Johnson City, Tn 37604, Johnson City, TN 37604 | 2020-08-07 |
| 1528688272 | Whitney Marie Ward | Physical Therapist | Lamont Street and Veterans Way, Johnson City, TN 37604 | 2020-04-23 |
| 1861050015 | Akesh Thomas | Student in an Organized Health Care Education/Training Program | Johnson City Medical Center, 400 N State of Franklin Rd, Johnson City, TN 37604 | 2019-06-03 |
| 1336629021 | Medical Education Assistance Corporation | Clinic/Center | 820 W Market St, Johnson City, TN 37604 | 2018-08-21 |
| 1093208951 | Lauren Tiffany Hayden | Physician Assistant | 403 N State of Franklin Rd Woodridge Hospital, Johnson City, TN 37604 | 2018-06-14 |
| 1174014450 | Jerica Moore | Specialist/Technologist | 1041 Hamiltion Place Dr., Johnson City, TN 37604 | 2018-05-23 |
| 1053809442 | Syed Ghazanfar Hasan | Student in an Organized Health Care Education/Training Program | Etsu Psychiatry and Behavioral Sciences Department, 1276 Gilbreath Dr., Johnson City, TN 37604 | 2018-05-01 |
| 1699262485 | Sonia Kumari Oad | Student in an Organized Health Care Education/Training Program | 178 West Maple St, Johnson City, TN 37604 | 2018-04-17 |
| 1821519364 | Mahmoud El Iskandarani | Internal Medicine | 1084 W Oakland Avenue, 748, Johnson City, TN 37604 | 2017-07-06 |
| Find all providers in zip 37604 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821519364 | Mahmoud El Iskandarani | Internal Medicine | 1084 W Oakland Avenue, 748, Johnson City, TN 37604 | 2017-07-06 |
| 1376074385 | Jonesborough Medical Center | Internal Medicine | 2811 W Market St Ste 1, Johnson City, TN 37604-5127 | 2017-03-22 |
| 1922463470 | Integrated Health Transitions, Pllc | Internal Medicine | 3107 W Market St, Suite 5, Johnson City, TN 37604-9347 | 2015-12-29 |
| 1689933301 | Jeremy Vincent Pinyard | Internal Medicine | 516 W Oakland Ave, Suite 106, Johnson City, TN 37604-1676 | 2012-05-15 |
| 1538397328 | Sirisha Jasti | Internal Medicine | 32-36 Harrison Street, Johnson City, NY 13790-2122 | 2009-06-30 |
| 1003057068 | Alan Cox | Internal Medicine | 2603 Avondale Dr, Johnson City, TN 37604-1902 | 2009-03-20 |
| 1528226016 | Mihir Patel | Internal Medicine | 408 N State of Franklin Rd Ste 24, Johnson City, TN 37604-6048 | 2008-05-30 |
| 1548481955 | Yamini Banerjee | Internal Medicine | 1403 E Oakland Ave, Johnson City, TN 37601-2655 | 2007-05-01 |
| 1013062421 | E Paul Getaz | Internal Medicine | 5 Saint Annes Ct, Johnson City, TN 37604-2279 | 2007-01-24 |
| 1841367919 | Jo G. Sweet | Internal Medicine | 415 State of Franklin Rd, Johnson City, TN 37604-6034 | 2006-11-30 |
| Find all providers in JOHNSON CITY | ||||
| City | JOHNSON CITY |
| Zip Code | 37604 |
Please comment or provide details below to improve the information on DR. AUDREY L 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.