KATHERINE CAMPBELL (NPI# 1003306408) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003306408 |
| Entity Type | Individual |
| Full Name | KATHERINE CAMPBELL |
| Practice Address |
102 Heritage Way Ne Ste 302 Leesburg VA 20176-4544 |
| Practice Telephone | 5715773402 |
| Mailing Telephone | 5715773402 |
| Enumeration Date | 2018-05-11 |
| Last Update Date | 2018-05-11 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 171M00000X | Case Manager/Care Coordinator | Other Service Providers | ||
| N | 251S00000X | Community/Behavioral Health | Agencies |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174121073 | Katherine Rainie Campbell | Registered Nurse | 360 Peak One Dr # 230, Frisco, CO 80443-5948 | 2020-10-13 |
| 1033726930 | Katherine Campbell | Counselor | 796 Us 45 Alternate South, Starkville, MS 39759 | 2020-09-25 |
| 1760031090 | Katherine Campbell | Occupational Therapist | 1201 W 5th St, Newport, WA 99156-9183 | 2019-09-09 |
| 1144471723 | Katherine M Campbell | Marriage & Family Therapist | 1110 Melody Ln Ste 108, Roseville, CA 95678-5137 | 2008-10-01 |
| 1780291591 | Katherine Emily Campbell | Dietitian, Registered | 600 Central Ave Ste 201, Great Falls, MT 59401-3141 | 2020-09-25 |
| 1902417751 | Katherine Campbell | Counselor | 5055 E Broadway Blvd Ste A200, Tucson, AZ 85711-3649 | 2020-08-14 |
| 1689218711 | Katherine Campbell | Counselor | 10526 W Cermak Rd, Suite 308aa, Westchester, IL 60154 | 2019-10-31 |
| 1508391269 | Katherine Am Campbell | Social Worker | Ucla Luskin School of Public Affairs, 3250 Public Affairs Building, Los Angeles, CA 90095-0001 | 2017-05-01 |
| 1487028122 | Katherine Campbell | Registered Nurse | 7205 S George Blvd, Sebring, FL 33875-5847 | 2015-11-18 |
| 1568849685 | Katherine Campbell | Acupuncturist | 3405 Penrose Pl, Suite 103, Boulder, CO 80301-1818 | 2015-04-27 |
| Street Address |
102 HERITAGE WAY NE STE 302 |
| City | LEESBURG |
| State | VA |
| Zip Code | 20176-4544 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699707802 | Lisa M Kirk | Counselor | 102 Heritage Way Ne Ste 302, Leesburg, VA 20176-4544 | 2006-07-07 |
| 1780282376 | Kevin Grigsby | Counselor | 102 Heritage Way Ne Ste 302, Leesburg, VA 20176-4544 | 2020-10-15 |
| 1922613561 | Bless Sherrina Whitaker | Counselor | 102 Heritage Way Ne Ste 302, Leesburg, VA 20176-4544 | 2020-09-10 |
| 1619597648 | Douglas Mao | Counselor | 102 Heritage Way Ne Ste 302, Leesburg, VA 20176-4544 | 2020-04-20 |
| 1942833520 | Shantell Turner | Counselor | 102 Heritage Way Ne Ste 302, Leesburg, VA 20176-4544 | 2020-02-21 |
| 1265062426 | Ashlee Abney | Social Worker | 102 Heritage Way Ne Ste 302, Leesburg, VA 20176-4544 | 2020-01-16 |
| 1699312728 | Heather Rainey | Counselor | 102 Heritage Way Ne Ste 302, Leesburg, VA 20176-4544 | 2019-12-09 |
| 1972146827 | Mihaela Stefan | Counselor | 102 Heritage Way Ne Ste 302, Leesburg, VA 20176-4544 | 2019-10-23 |
| 1972159762 | Rebecca Suzanne Washington | Counselor | 102 Heritage Way Ne Ste 302, Leesburg, VA 20176-4544 | 2019-08-16 |
| 1508419151 | Ryan Lynch | Counselor | 102 Heritage Way Ne Ste 302, Leesburg, VA 20176-4544 | 2019-07-23 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053912923 | Timothy Michael Nixon | Pharmacist | 61 Catoctin Circle, Leesburg, VA 20176 | 2020-11-05 |
| 1558996645 | Stacey E Moran | Occupational Therapist | 44124 Woodrige Parkway, Lansdowne, VA 20176 | 2020-03-09 |
| 1710531272 | Joseph H Kasuska Jr. | Specialist/Technologist | 19455 Deerfield Ave. Suite 306, Lansdowne, VA 20176 | 2019-08-01 |
| 1568935849 | Joel Manalang Polintan Jr. | Physical Therapist | 171 Cedarwalk Circle, Leesburg, VA 20176 | 2019-01-09 |
| 1194203026 | Jing Cao | Acupuncturist | 19450 Deerfield Ave Ste 275, Leesburg, VA 20176 | 2018-08-02 |
| 1134648314 | Alaina Marie Gotwalt | Speech-Language Pathologist | 43850 Heatherstone Terrace, Unit 406, Leesburg, VA 20176 | 2017-09-19 |
| 1841717105 | Happy Inhome Care Corp | Respite Care | 722 E Market St Ste 103, Leesburg, VA 20176 | 2017-08-28 |
| 1912423484 | Aaa Good Healthcare LLC | Nursing Care | 722 East Market Street Ne, Suite 102, Leesburg, VA 20176 | 2017-08-16 |
| 1740704253 | Anna Maria Domingo Seaford | Physician Assistant | 19441 Golf Vista Plz Ste 230, Lansdowne, VA 20176 | 2017-07-27 |
| 1710436480 | Reena Patel | Physician Assistant | 224 Cornwall St Nw Leesburg Orthope, Unit 204, Leesburg, VA 20176 | 2016-09-23 |
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| Taxonomy Code | 171M00000X |
| Grouping | Other Service Providers |
| Classification | Case Manager/Care Coordinator |
| A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee’s progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management. |
| Notes: Source: CMS State Medicaid Manual Section 4442.3 [7/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396239786 | Marisa R Benson | Case Manager/Care Coordinator | 600 Market St Ste 116, Leesburg, FL 34748-5143 | 2018-06-19 |
| 1760974869 | Debbie D Wheeler | Case Manager/Care Coordinator | 227 Roanoke Dr Se, Leesburg, VA 20175-4007 | 2018-06-04 |
| 1568019792 | Catherine Heflin | Case Manager/Care Coordinator | 215 N 3rd St, Leesburg, FL 34748-5105 | 2019-08-22 |
| 1023506508 | William Gatewood | Case Manager/Care Coordinator | 102 Heritage Way Ne Ste 302, Leesburg, VA 20176-4544 | 2018-04-30 |
| 1750817078 | Shelby J Chavis | Case Manager/Care Coordinator | 2018 Talley Rd, Leesburg, FL 34748 | 2017-05-05 |
| 1316484561 | Jason Perry | Case Manager/Care Coordinator | 102 Heritage Way Ne Ste 302, Leesburg, VA 20176-4544 | 2017-01-26 |
| 1417302241 | John Mercandetti | Case Manager/Care Coordinator | 102 Heritage Way Ne Ste 302, Leesburg, VA 20176-4544 | 2016-04-29 |
| 1790144814 | Mike Bernal | Case Manager/Care Coordinator | 102 Heritage Way Ne Ste 302, Leesburg, VA 20176-4544 | 2016-02-17 |
| 1821455460 | Michelle Auten | Case Manager/Care Coordinator | 102 Heritage Way Ne Ste 302, Leesburg, VA 20176-4544 | 2016-01-27 |
| 1659738748 | Daniel Burns | Case Manager/Care Coordinator | 102 Heritage Way Ne, Suite 302 P.o., Leesburg, VA 20176-4544 | 2016-01-21 |
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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.