DR. KAITLIN CAMPBELL (NPI# 1902467509) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902467509 |
| Entity Type | Individual |
| Full Name | DR. KAITLIN CAMPBELL |
| Credential | DO |
| Practice Address |
2939 E Idavada Ct Nampa ID 83686-5899 |
| Mailing Address |
16834 S Vista Ave Kuna ID 83634-2761 |
| Practice Telephone | 9073019234 |
| Enumeration Date | 2019-06-25 |
| Last Update Date | 2020-10-29 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208D00000X | General Practice | O-1425 | ID | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1 Choctaw Way, Talihina, OK 745712022 | 9185677000 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083186050 | Kaitlin Campbell | Nurse Practitioner | 2301 Erwin Rd, Durham, NC 27705-4699 | 2019-01-01 |
| 1376989186 | Kaitlin Mcclenahan Campbell | Family Medicine | 1414 Cross St Ste 230, Shiloh, IL 62269 | 2013-05-20 |
| 1467754556 | Kaitlin Campbell | Behavioral Analyst | 1620 N Main St, Walnut Creek, CA 94596-4653 | 2010-11-23 |
| Street Address |
2939 E IDAVADA CT |
| City | NAMPA |
| State | ID |
| Zip Code | 83686-5899 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346801941 | Daniel Campbell | General Practice | 2939 E Idavada Ct, Nampa, ID 83686-5899 | 2019-06-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184255960 | Kristine Lynn Fitts-eisenbrandt | Social Worker | 270 W. Gerogia Ave., Nampa, ID 83686 | 2020-01-30 |
| 1669025706 | Vitality Family Chiropractic, Pllc | Chiropractor | 3189 E Greenhurst Rd, Nampa, ID 83686 | 2019-07-18 |
| 1871150185 | King's Peak Investments, Inc. | Substance Abuse Rehabilitation Facility | 8898 Idaho 45, Nampa, ID 83686 | 2019-05-22 |
| 1154805786 | Jmj Nampa LLC | Dentist | 914 12th Ave Rd, Nampa, ID 83686 | 2018-09-19 |
| 1518448703 | Michel Cox | Pharmacy Technician | 2219 12th Ave S, Nampa, ID 83686 | 2018-08-24 |
| 1437504909 | 5 Peppers Inc | Family Medicine | 217 W. Georgia Ave. Ste 120, Nampa, ID 83686 | 2016-05-03 |
| 1811369549 | Anna Stoia | Physician Assistant | 4401 E. Tuscany Ave., Nampa, ID 83686 | 2015-10-21 |
| 1144699307 | Jamie Green | Social Worker | 112 12th Avenue Rd., Nampa, ID 83686 | 2015-09-17 |
| 1174927933 | Bower Chiropractic Inc | Chiropractor | 304 12th Ave Rd, Nampa, ID 83686 | 2014-10-22 |
| 1285037093 | Rosemary Phelps | Registered Nurse | 353 W. Iowa, Nampa, ID 83686 | 2014-10-07 |
| Find all providers in zip 83686 | ||||
| Taxonomy Code | 208D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | General Practice |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346801941 | Daniel Campbell | General Practice | 2939 E Idavada Ct, Nampa, ID 83686-5899 | 2019-06-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508467051 | Janene Caldwell Witherite | General Practice | 1077 Stellar End Rd, Victor, ID 83455-4973 | 2020-11-02 |
| 1336797042 | Brightview Senior Health | General Practice | 1983 N Synergy Pl, Eagle, ID 83616-7332 | 2019-08-27 |
| 1932581089 | Matthew Hall | General Practice | 1232 Rigby Rd, Bancroft, ID 83217 | 2015-06-25 |
| 1881074201 | Lindsey Wells | General Practice | 2537 W State St Ste 110, Boise, ID 83702-2200 | 2015-06-01 |
| 1043697576 | William Chapman | General Practice | 1948 W. Blackwell Mill Road, Coeur D Alene, ID 83814 | 2015-05-05 |
| 1265824312 | Drugshield Inc | General Practice | 3085 N Cole Rd, Ste 108, Boise, ID 83704-5968 | 2015-02-26 |
| 1215344353 | Lanie Benson | General Practice | 460 N 3rd E, Driggs, ID 83422-5146 | 2014-07-22 |
| 1356614770 | Charles Thomas Mcgee | General Practice | 2385 W Bolivar Ave, Coeur D Alene, ID 83815-9134 | 2012-02-15 |
| 1487926564 | Boise Image Enhancement Centre, Inc. | General Practice | 9382 W Overland Rd, Boise, ID 83709-2505 | 2012-02-03 |
| 1922377027 | Preventative Health | General Practice | 531 S Fitness Pl Ste 100, Eagle, ID 83616-6552 | 2011-12-19 |
| 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.