AMY CAMPBELL (NPI# 1215335609) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215335609 |
| Entity Type | Individual |
| Full Name | AMY CAMPBELL |
| Credential | R.D. |
| Practice Address |
65 Fairmont Ave Waltham MA 02453-7725 |
| Practice Telephone | 7816477197 |
| Mailing Telephone | 7816477197 |
| Enumeration Date | 2014-12-17 |
| Last Update Date | 2014-12-17 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 133V00000X | Dietitian, Registered | 293 | MA | Dietary & Nutritional Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528628252 | Amy J Campbell | Pharmacist | 133 Bordeaux Ct, Smyrna, TN 37167-4606 | 2019-06-14 |
| 1992161707 | Amy Campbell | Developmental Therapist | 2014 Kerper Blvd, Cody, WY 82414-4809 | 2016-01-08 |
| 1154799419 | Amy S Campbell | Marriage & Family Therapist | 1805 Inverness Ave, Lansing, MI 48915 | 2015-09-03 |
| 1376945972 | Amy Suzanne Campbell | Specialist/Technologist | 11700 E 11th Ave, Aurora, CO 80010-3758 | 2014-09-25 |
| 1972881415 | Amy O Campbell | Pharmacist | 3737 North Roxboro Rd, Durham, NC 27705 | 2011-08-02 |
| 1770876377 | Amy Calvert Campbell | Registered Nurse | 2080 S Frontage Rd Ste 112, Vicksburg, MS 39180-5882 | 2011-05-16 |
| 1972770287 | Amy Ann Campbell | Nurse Practitioner | 4500 E 9th Ave Ste 300, Denver, CO 80220-3922 | 2008-05-15 |
| 1558573212 | Amy Ann Campbell | Dentist | 1055 E Stewart Ave Bldg 2018, Peterson Afb, CO 80914-2900 | 2007-05-04 |
| 1003039546 | Amy Patton Campbell | Counselor | 1030 N Center Pkwy Ste 320, Kennewick, WA 99336-7160 | 2007-04-11 |
| 1720123953 | Amy Campbell | Occupational Therapist | 5959 Freeman Rd, Westerville, OH 43082-9017 | 2007-02-21 |
| Street Address |
65 FAIRMONT AVE |
| City | WALTHAM |
| State | MA |
| Zip Code | 02453-7725 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811595770 | Bj's Wholesale Club Inc. | Eyewear Supplier (Equipment, not the service) | 66 Seyon St, Waltham, MA 02453 | 2020-10-13 |
| 1679040935 | Elsa L. Lichman | Social Worker | 52 Derby Street, Waltham, MA 02453 | 2018-10-25 |
| 1760957468 | Sherry Leigh Miller | Counselor | C/o Children's Charter, 77 Rumford Ave, Waltham, MA 02453 | 2018-10-09 |
| 1639644651 | Leo V Sarkissian | Social Worker | The Arc of Massachusetts, 217 South Street, Waltham, MA 02453 | 2018-10-05 |
| 1629569512 | Abaytum Investments Inc | Home Health | 24 Crescent Street, Suite 104, Waltham, MA 02453 | 2018-05-25 |
| 1225542970 | Mikayla E Culpo | Nurse Practitioner | 9 Hope Ave Fl Bch4, Waltham, MA 02453 | 2017-11-16 |
| 1568975449 | Twyla Atherna Everett | Massage Therapist | 212 Calvary St, Waltham, MA 02453 | 2017-11-14 |
| 1407369382 | Eli Miller | Counselor | 431 River Street, Suite 1, Waltham, MA 02453 | 2017-11-14 |
| 1396263927 | Jill Zaricor | Student in an Organized Health Care Education/Training Program | 77 Rumford Ave C/o Children's Charter, Waltham, MA 02453 | 2017-09-04 |
| 1538683008 | Michael Scaduto | Physical Therapist | 110-1 Clematis Ave, Waltham, MA 02453 | 2017-07-27 |
| Find all providers in zip 02453 | ||||
| Taxonomy Code | 133V00000X |
| Grouping | Dietary & Nutritional Service Providers |
| Classification | Dietitian, Registered |
| A registered dietician (RD) is a food and nutrition expert who has successfully completed a minimum of a bachelor’s degree at a US regionally accredited university or college and course work approved by The American Dietetic Association (ADA); an ADA-accredited or approved, supervised practice program, typically 6 to 12 months in length; a national examination administered by the Commission on Dietetic Registration; and continuing professional educational requirements to maintain registration. |
| Notes: Source: The American Dietetic Association. Becoming a Registered Dietitian – a food and nutrition expert. Chicago, IL: The American Dietetic Association, July 1997. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477175131 | Jenifer La | Dietitian, Registered | 218 School St, Waltham, MA 02451-4551 | 2020-05-15 |
| 1902459233 | Laila Shanaa | Dietitian, Registered | 109 Cushing St, Waltham, MA 02453-0426 | 2019-07-16 |
| 1477034874 | Rebecca Rand | Dietitian, Registered | 411 Waverley Oaks Rd Ste 200, Waltham, MA 02452-8437 | 2018-08-23 |
| 1225486269 | Tara Holmes | Dietitian, Registered | 85 Wetherbee Rd, Waltham, MA 02453-7624 | 2016-06-01 |
| 1649655721 | Laura Moretti | Dietitian, Registered | 20 Hope Ave Ste G10, Waltham, MA 02453-2717 | 2015-07-30 |
| 1770914020 | Ruth Fitzgerald | Dietitian, Registered | 85 Cherry St, Apt 3, Waltham, MA 02453-3935 | 2013-12-11 |
| 1851664767 | Comprehensive Psychiatric Resources | Dietitian, Registered | 203 Crescent St, Suite 110, Waltham, MA 02453 | 2012-02-23 |
| 1386946960 | Janyce M Gately | Dietitian, Registered | 425 Waverley Oaks Rd Ste 200, Waltham, MA 02452 | 2010-12-02 |
| 1598376840 | Alora L Frederick | Dietitian, Registered | 577 Main St, Waltham, MA 02452-5527 | 2020-08-11 |
| 1679044291 | Tamara Luck | Dietitian, Registered | 577 Main St, Waltham, MA 02452-5527 | 2018-12-07 |
| Find all providers in WALTHAM | ||||
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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.