MR. SHANNON D CAMPBELL (NPI# 1801855440) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801855440 |
| Entity Type | Individual |
| Full Name | MR. SHANNON D CAMPBELL |
| Credential | ATC/L |
| Practice Address |
1114 9th Ave Lewiston ID 83501-2659 |
| Mailing Address |
330 N Grant St Moscow ID 83843-3674 |
| Practice Telephone | 2087483102 |
| Mailing Telephone | 2088823239 |
| Enumeration Date | 2006-03-22 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
AT-067 | ID | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609414200 | Shannon Kohlenberg Campbell | Social Worker | 5562 Mesa Verde Ct, Fort Worth, TX 76137-4438 | 2019-12-13 |
| 1982248068 | Shannon M Campbell | Day Training/Habilitation Specialist | 1126 Lafayette Dr Ne, Albuquerque, NM 87106-1904 | 2019-11-01 |
| 1780050419 | Shannon Campbell | Registered Nurse | 700 Charlestown Rd, Springfield, VT 05156-4400 | 2015-08-17 |
| 1538507439 | Shannon Campbell | Counselor | 4274 Nottingham Way, Hamilton, NJ 08690-3825 | 2013-06-13 |
| 1225376395 | Shannon Diane Campbell | Specialist/Technologist | 4609 W Banff Ln, Glendale, AZ 85306-3607 | 2013-01-24 |
| 1407013550 | Shannon Marie Campbell | Dentist | 31450 W Seven Mile Road, Suite 109, Livonia, MI 48152-1375 | 2008-05-16 |
| 1538783733 | Shannon Campbell | Speech-Language Pathologist | 42 Winter St Ste 25, Pembroke, MA 02359-4958 | 2020-06-03 |
| 1568081248 | Shannon Campbell | Physician Assistant | 570 Lexington Ave Fl 9, New York, NY 10022-6710 | 2020-04-13 |
| 1740826494 | Shannon P Campbell | 717 S Houston Ave Ste 400, Tulsa, OK 74127-9007 | 2019-11-18 | |
| 1598318016 | Shannon Campbell | Physical Therapist | 500 W Grant St, Lake City, MN 55041-1143 | 2019-07-23 |
| Street Address |
1114 9TH AVE |
| City | LEWISTON |
| State | ID |
| Zip Code | 83501-2659 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528519444 | Adam Cadez-schmidt | Specialist/Technologist | 1114 9th Ave, Lewiston, ID 83501-2659 | 2016-10-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679193759 | Jacqueline M Aldrich | Behavior Technician | 3407 12th Street C, 3407 12th Street C, Lewiston, ID 83501 | 2020-04-20 |
| 1295228054 | Provident Foundation - Wedgewood Terrace LLC | Alzheimer Center (Dementia Center) | 2114 Vineyard Avenue, Lewiston, ID 83501 | 2018-06-07 |
| 1164945325 | Xiaofei Liu | Massage Therapist | 234 Thain Rd, Lewiston, ID 83501 | 2017-07-19 |
| 1467909879 | Sharon Thulon | Registered Nurse | 1118 F Street, Lewiston, ID 83501 | 2016-09-01 |
| 1821459496 | Gem State Endoscopy | Clinic/Center | 3709 14th Street, Lewiston, ID 83501 | 2016-03-10 |
| 1508264995 | Gary L. Grogan | Psychologist | 633 Main Street, B#1, Lewiston, ID 83501 | 2014-12-17 |
| 1003189366 | John Joseph Johnson | Dentist | 3510 12th Street, Suite #600, Lewiston, ID 83501 | 2012-02-17 |
| 1306134077 | Rowena Kathryn Jackson | Counselor | 531 Bryden Avenue, Lewiston, ID 83501 | 2011-07-15 |
| 1912290388 | Staci Leanne Truby | Massage Therapist | 717 'd' Street, Lewiston, ID 83501 | 2011-05-18 |
| 1093040685 | Sharie Ann Uhlorn | Registered Nurse | 1837 Alder Court, Lewiston, ID 83501 | 2009-10-15 |
| Find all providers in zip 83501 | ||||
| Taxonomy Code | 2255A2300X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Specialist/Technologist |
| Specialization | Athletic Trainer |
| Athletic trainers are allied health care professionals who work in consultation with or under the direction of physicians, and specialize in the prevention, assessment, treatment and rehabilitation of injuries and illnesses. Currently, the entry-level employment requirements are a bachelor’s degree with a major in athletic training from an accredited university or college. A majority of athletic trainers hold advanced degrees. National board certification is generally required as a condition of state licensure and employment. Most states regulate athletic trainers, and they practice within the scope of that license or regulation. Clinical practice includes emergency care, rehabilitation, reconditioning, therapeutic exercise, wellness programs, exercise physiology, kinesiology, biomechanics, nutrition, psychology and health care administration. |
| Notes: Source: National Athletic Trainers’ Association (www.NATA.org) [1/1/2006: modified definition, modified source] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720632805 | Lincoln Carter | Specialist/Technologist | 723 Preston Ave Apt F, Lewiston, ID 83501-4648 | 2019-07-28 |
| 1215429535 | Shayla Rae Laney | Specialist/Technologist | 1117 17th St, Lewiston, ID 83501-3059 | 2018-06-01 |
| 1861914715 | Brianna Lajoie | Specialist/Technologist | 16 Bolduc St, Lewiston, ME 04240-5712 | 2017-07-12 |
| 1831455351 | Kelsey Sadowski | Specialist/Technologist | 907 Stewart Ave, Lewiston, ID 83501-4711 | 2012-04-10 |
| 1902172141 | Tracy Ann Collins | Specialist/Technologist | 621 19th Ave, Lewiston, ID 83501-3893 | 2012-03-30 |
| 1578705810 | Carol R Becker | Specialist/Technologist | 5795 Lewiston Rd, Lewiston, NY 14092-2152 | 2009-04-01 |
| 1912962952 | Michael Normand Verville | Specialist/Technologist | Bates College, 130 Central Ave., Alumni Gymnasium, Lewiston, ME 04240 | 2006-04-20 |
| 1770548018 | Jennifer Diane Collins | Specialist/Technologist | 130 Central Ave, Bates College Department of Athletics, Lewiston, ME 04240-6042 | 2006-04-19 |
| 1023002243 | Thomas Stephen Bourdon | Specialist/Technologist | 190 Birch St, Lewiston, ME 04240-6408 | 2005-09-02 |
| 1548807753 | Benjamin Walker | Specialist/Technologist | 130 Central Ave, Lewiston, ME 04240-6042 | 2019-12-06 |
| Find all providers in LEWISTON | ||||
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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.