MS. AMANDA CAMPBELL (NPI# 1962801340) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962801340 |
| Entity Type | Individual |
| Full Name | MS. AMANDA CAMPBELL |
| Credential | MSN, FNP-BC |
| Practice Address |
3100 Maccorkle Ave Se Ste 205 Charleston WV 25304-1228 |
| Practice Telephone | 3047207305 |
| Practice Fax Number | 3047207310 |
| Mailing Telephone | (304) 720-7305 |
| Mailing Fax Number | 3047207310 |
| Enumeration Date | 2014-08-21 |
| Last Update Date | 2017-08-15 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
APRN60245NP | WV | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WV | 3810027920 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023570801 | Amanda Campbell | Student in an Organized Health Care Education/Training Program | 764 Lobelia Dr, Davenport, FL 33837-9122 | 2019-04-02 |
| 1831504612 | Amanda Campbell | Dentist | 4090 North M.l.k. Blvd, North Las Vegas, NV 89032 | 2014-06-30 |
| 1831503184 | Amanda Beth Campbell | Nurse Practitioner | 2204 Pavilion Dr Ste 108, Kingsport, TN 37660-4651 | 2014-06-15 |
| 1518200278 | Amanda Campbell | Social Worker | 515 700 E Suite 2a, Salt Lake City, UT 84102 | 2013-04-01 |
| 1821303942 | Amanda Marie Campbell | Occupational Therapist | 400 Oak Ridge Ct, Lake Bluff, IL 60044-1346 | 2010-08-12 |
| 1023335429 | Amanda J Campbell | Marriage & Family Therapist | 205 S 4th St Ste D4, Manhattan, KS 66502-6168 | 2010-04-23 |
| 1346473949 | Amanda Hope Campbell | Physical Therapy Assistant | 102 Tuscany Ln, Greenwood, SC 29649-7949 | 2009-08-29 |
| 1154519122 | Amanda Jill Campbell | Counselor | 120 Camilla Ct, Suite D, Westfield, IN 46074-9863 | 2007-10-04 |
| 1184757882 | Amanda Lee Campbell | Physical Therapy Assistant | 3891 Charlestown Rd, New Albany, IN 47150-9562 | 2007-03-13 |
| 1215016613 | Amanda J Campbell | Chiropractor | 1101 Hutchings St, Goldthwaite, TX 76844-2425 | 2006-11-04 |
| Street Address |
3100 MACCORKLE AVE SE STE 205 |
| City | CHARLESTON |
| State | WV |
| Zip Code | 25304-1228 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285623108 | David A Adkins | Internal Medicine | 3100 Maccorkle Ave Se Ste 205, Charleston, WV 25304-1228 | 2005-10-14 |
| 1417511361 | Charli Ann Boothe | Nurse Practitioner | 3100 Maccorkle Ave Se Ste 205, Charleston, WV 25304-1228 | 2019-04-25 |
| 1780107714 | Bonnie Katherine Skarzinski | Nurse Practitioner | 3100 Maccorkle Ave Se Ste 205, Charleston, WV 25304-1228 | 2017-07-21 |
| 1063958114 | Majdi S. Al Nabulsi | Internal Medicine | 3100 Maccorkle Ave Se Ste 205, Charleston, WV 25304-1228 | 2017-01-12 |
| 1396129441 | Jonathan Lucas-neel | Nurse Practitioner | 3100 Maccorkle Ave Se Ste 205, Charleston, WV 25304-1228 | 2015-07-17 |
| 1063829349 | Vikhyath Terla | Internal Medicine | 3100 Maccorkle Ave Se Ste 205, Charleston, WV 25304-1228 | 2014-07-17 |
| 1144575945 | Richa Singh | Internal Medicine | 3100 Maccorkle Ave Se Ste 205, Charleston, WV 25304-1228 | 2012-07-17 |
| 1477874295 | Hatim S Al-jaroushi | Internal Medicine | 3100 Maccorkle Ave Se Ste 205, Charleston, WV 25304-1228 | 2010-06-15 |
| 1649415837 | Ashish Koirala | Internal Medicine | 3100 Maccorkle Ave Se Ste 205, Charleston, WV 25304-1228 | 2008-12-03 |
| 1962665430 | Kevin Harris Smith | Internal Medicine | 3100 Maccorkle Ave Se Ste 205, Charleston, WV 25304-1228 | 2008-07-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740893908 | Sade Yvonne Rice | Technician | 392 B South Parkd Rd, Charleston, WV 25304 | 2020-08-27 |
| 1053931410 | Pir Ali Shah | Student in an Organized Health Care Education/Training Program | 3200 Maccorkle Avenue Southeast Robert C. Bind Clinical, Charleston, WV 25304 | 2020-04-25 |
| 1649807603 | Jasmine Shah | Student in an Organized Health Care Education/Training Program | 3110 Maccorkle Avenue, Se, Student Services Department - Wvu Building, 4th Floor, Charleston, WV 25304 | 2020-03-26 |
| 1447811872 | Kwasi Amponsah Gambrah | Student in an Organized Health Care Education/Training Program | 3200 Mac Corkle Ave. Se, Robert C. Byrd Clinical Teaching Center, 5th Floor, Charlestoni, WV 25304 | 2019-06-26 |
| 1457916751 | Divya Kalluru | Student in an Organized Health Care Education/Training Program | 3200 Maccorkle Avenue Southeast, Robert C. Bird Clinica, 4th Floor Internal Medicine Department, Charleston, WV 25304 | 2019-05-02 |
| 1841854965 | Sean Michael Percy Losier | Student in an Organized Health Care Education/Training Program | 3200 Maccorkle Ave., Se, Camc Family Medicine Center Robert C. Byrd Clinical Tea, Charleston, WV 25304 | 2019-04-24 |
| 1700440047 | Priyanka Chowdhry | Student in an Organized Health Care Education/Training Program | Robert C. Bird Clinical Training Center, 4th Floor, 3200 Maccorkle Avenue, Southeast, Charleston, WV 25304 | 2019-04-23 |
| 1568925469 | Saranya Dinesan | Student in an Organized Health Care Education/Training Program | 3200 Maccorkle Ave. Se, 4th Floor, Robert C. Byrd Clini, Charleston, WV 25304 | 2019-04-09 |
| 1043771694 | Mary Elizabeth Novak | Student in an Organized Health Care Education/Training Program | Camc Memorial Hospital, Surgicare Center, 3200 Maccorkle Ave Se, Charleston, WV 25304 | 2019-03-27 |
| 1124518600 | Abdullah Sohail | Student in an Organized Health Care Education/Training Program | 4th Floor, 3200 Maccorkle Ave, South East Robert C. Bir, Charleston, WV 25304 | 2018-05-10 |
| Find all providers in zip 25304 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417557737 | Diondra Johnson | Nurse Practitioner | 2327 Watchtower Ln, Charleston, SC 29414-7803 | 2020-10-27 |
| 1427656735 | Kisha Lanece James | Nurse Practitioner | 16 Red Mulberry Way Apt 3, Charleston, WV 25306-0107 | 2020-10-09 |
| 1043822216 | Amber Bagwell | Nurse Practitioner | 442 King St Fl 2, Charleston, SC 29403-6230 | 2020-08-19 |
| 1790396273 | Amanda Jo Grant | Nurse Practitioner | 2207 Seneca Dr, Charleston, IL 61920-3836 | 2020-08-10 |
| 1811514961 | Isabel Margarita Lemasters | Nurse Practitioner | 3226 Moonlight Dr, Charleston, SC 29414-8052 | 2020-07-05 |
| 1255954566 | Christina L. White | Nurse Practitioner | 1199 Persimmon Rd, Charleston, IL 61920 | 2020-05-20 |
| 1770123929 | Catherine A. Woods | Nurse Practitioner | 9313 Medical Plaza Dr Ste 310, Charleston, SC 29406-9197 | 2020-01-15 |
| 1104464999 | Brittany D Griffith | Nurse Practitioner | 830 Pennsylvania Ave Ste 402, Charleston, WV 25302-3390 | 2019-12-12 |
| 1437795747 | Brigitte Britt Huttemeyer | Nurse Practitioner | 678 Castle Pinckney Dr, Charleston, SC 29412 | 2019-11-21 |
| 1124660774 | Dennis Robert Moore | Nurse Practitioner | 4610 Kanawha Ave Sw Ste 302, Charleston, WV 25309-1367 | 2019-10-16 |
| Find all providers in CHARLESTON | ||||
| City | CHARLESTON |
| Zip Code | 25304 |
Please comment or provide details below to improve the information on MS. AMANDA 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.