MS. SUSANNE CAROL CAMPBELL (NPI# 1124392105) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124392105 |
| Entity Type | Individual |
| Full Name | MS. SUSANNE CAROL CAMPBELL |
| Credential | APN, FNP-BC |
| Practice Address |
1 University Circle Macomb IL 61455 |
| Practice Telephone | 3092981888 |
| Practice Fax Number | 3092982188 |
| Mailing Telephone | 3092981888 |
| Mailing Fax Number | 3092982188 |
| Enumeration Date | 2012-03-08 |
| Last Update Date | 2012-03-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | 209-003279 | IL | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
1 UNIVERSITY CIRCLE |
| City | MACOMB |
| State | IL |
| Zip Code | 61455 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730116591 | Amy Beckman | Specialist/Technologist | 1 University Circle, Western Illinois University Athletics, Macomb, IL 61455 | 2006-06-27 |
| 1336769785 | Reagan Horsch | Specialist/Technologist | 1 University Circle, Macomb, IL 61455 | 2020-04-25 |
| 1336480490 | Shanna S Krause | Nurse Practitioner | 1 University Circle, Macomb, IL 61455-3313 | 2013-03-13 |
| 1053560037 | Kira Leann Olds | Specialist/Technologist | 1 University Circle, Western Illinois University - Athletic Training, Macomb, IL 61455 | 2008-09-15 |
| 1518029701 | Edward Kirk Baker | Family Medicine | 1 University Circle, Beu Health Center, Macomb, IL 61455-1390 | 2006-12-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043869944 | Wesley Village, Inc | Speech-Language Pathologist | 1200 East Grant Street, Macomb, IL 61455 | 2019-09-04 |
| 1780154013 | Hannah Lauren Bengtson | Optometrist | 820 E. Jackson St., Macomb, IL 61455 | 2018-11-29 |
| 1255832564 | Lifeguard Ambulance Service of Illinois Inc. | Ambulance | 219 W Jackson St, Macomb, IL 61455 | 2018-02-22 |
| 1821516816 | Michelle Deann Sargeant | Speech-Language Pathologist | 315 N. Bonham, Macomb, IL 61455 | 2017-08-30 |
| 1972020360 | Kara Marie Wright | Speech-Language Pathologist | 315 N. Bonham St., Macomb, IL 61455 | 2017-08-25 |
| 1720356504 | Dawn M. Kedzior | Social Worker | 103 South Johnson Street, Macomb, IL 61455 | 2011-12-07 |
| 1255632642 | Michael Kurt Sharp | Audiologist | Memorial Hall, Second Floor, W Murray St, Macomb, IL 61455 | 2010-11-16 |
| 1952538704 | Mary L. Smith | Developmental Therapist | 1 University Circle, Western Il Univ, Cntr for Best Practices In Early Childhood Education, Macomb, IL 61455 | 2009-06-19 |
| 1982857827 | Macomb Oncology Institute Ltd | Radiology | 401 East Grant Street, Macomb, IL 61455 | 2008-10-23 |
| 1245488345 | Sonja E Schmidt | Social Worker | 119 Wetzel Hall, Western Illinois University, Macomb, IL 61455 | 2008-09-03 |
| Find all providers in zip 61455 | ||||
| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
| Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629687785 | Catherine Therese Ensworth | Nurse Practitioner | 50721 Pinnacle Woods Ln, Macomb, MI 48042-5535 | 2020-07-24 |
| 1831734433 | Heather Daiza | Nurse Practitioner | 45649 Heather Ridge Dr, Macomb, MI 48044-4073 | 2019-11-07 |
| 1366092884 | Dana Marie Tozzi | Nurse Practitioner | 20264 Alexander Dr, Macomb, MI 48044-5939 | 2019-09-17 |
| 1821561838 | Francesca Vallin Qualls | Nurse Practitioner | 18048 Crystal River Dr, Macomb, MI 48042-6177 | 2019-01-03 |
| 1295224517 | Laura Maranville | Nurse Practitioner | 433 N Johnson St, Macomb, IL 61455-1420 | 2018-05-02 |
| 1861817348 | Lena Antoski | Nurse Practitioner | 56491 Broadmoor Ln, Macomb, MI 48042-1193 | 2014-02-20 |
| 1922004332 | Susan Adams | Nurse Practitioner | 1600 E Jackson St, Macomb, IL 61455-2530 | 2005-06-22 |
| 1174087829 | Bashar Sileewa | Nurse Practitioner | 21840 23 Mile Rd, Macomb, MI 48042-4422 | 2019-01-28 |
| 1144694290 | Kelly Scott | Nurse Practitioner | 15959 Hall Rd, #104, Macomb, MI 48044-5363 | 2015-11-30 |
| 1376920819 | Lawrence Holloway IIi | Nurse Practitioner | 46591 Romeo Plank Rd Ste 133, Macomb, MI 48044-5705 | 2015-05-05 |
| Find all providers in MACOMB | ||||
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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.