CHRISTA CAMPBELL


Address: 19401 Northline Rd Bldg 5, Southgate, MI 48195-2277
Phone: 7347857705

CHRISTA CAMPBELL (NPI# 1215478359) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1215478359
Entity Type Individual
Full Name CHRISTA CAMPBELL
Practice Address 19401 Northline Rd Bldg 5
Southgate
MI 48195-2277
Mailing Address 4334 Dell Rd Apt O
Lansing
MI 48911-8123
Practice Telephone 7347857705
Mailing Telephone 5175285582
Enumeration Date 2017-03-08
Last Update Date 2019-09-24
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 171M00000X Case Manager/Care Coordinator Other Service Providers

Provider Secondary Practice Location

Address Telephone Number Fax Number
2109 Hamilton Rd, Office 200, Okemos, MI 488641772 5179306308

Other Providers CHRISTA CAMPBELL

NPI Name Taxonomy Address Enumeration
1942729397 Christa Jacqueline Campbell Counselor 910 Nw 7th St, Bentonville, AR 72712-4565 2017-09-18
1134512791 Christa Campbell Physician Assistant 1600 Sw Archer Rd, Uf Health Shands Hospital, Department of Surgery, Gainesville, FL 32610-3003 2015-03-06
1609272186 Christa Campbell Counselor 74 Dowd Rd, Bangor, ME 04401-6700 2014-11-12
1780712307 Christa Campbell Social Worker 275 Cumberland Bnd, Nashville, TN 37228-1805 2007-03-02
1366500621 Christa Elaine Campbell Chiropractor 301 Merritt 7, Norwalk, CT 06851-1070 2006-12-05

Office Location

Street Address 19401 NORTHLINE RD BLDG 5
City SOUTHGATE
State MI
Zip Code 48195-2277

Providers in the same location

NPI Name Taxonomy Address Enumeration
1699011684 Rachel Zaran Speech-Language Pathologist 19401 Northline Rd Bldg 5, Southgate, MI 48195-2277 2012-12-18
1942859269 Rejillia Johnston Student in an Organized Health Care Education/Training Program 19401 Northline Rd Bldg 5, Southgate, MI 48195-2277 2019-09-09
1700375383 Elizabeth Burgess Counselor 19401 Northline Rd Bldg 5, Southgate, MI 48195-2277 2018-05-09
1639691694 Lynda Johnson Social Worker 19401 Northline Rd Bldg 5, Southgate, MI 48195-2277 2017-07-12
1265968895 Jillian Out Psychologist 19401 Northline Rd Bldg 5, Southgate, MI 48195-2277 2017-05-02
1851843916 Brittany Nicole Page Social Worker 19401 Northline Rd Bldg 5, Southgate, MI 48195-2277 2016-10-25
1740665397 Kimberly Vasicek Case Manager/Care Coordinator 19401 Northline Rd Bldg 5, Southgate, MI 48195 2015-07-24
1184039224 Breana Witte Speech-Language Pathologist 19401 Northline Rd Bldg 5, Southgate, MI 48195-2277 2014-06-27
1417388224 Gwendolyn Hooks Psychologist 19401 Northline Rd Bldg 5, Southgate, MI 48195-2277 2013-12-04

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1780206656 Destiny D Harris Social Worker 14799, Southgate, MI 48195 2020-05-13
1285102368 Svs Vision Inc Eyewear Supplier (Equipment, not the service) 16256 Fort St, Southgate, MI 48195 2018-11-07
1003382979 Saran Charisse Watts Case Manager/Care Coordinator 31101 Allen Rd, Building 5, Southgate, MI 48195 2018-10-18
1255824025 Kiesta Janell Lindsey Social Worker 13101 Allen Rd Bldg 4-f, Southgate, MI 48195 2018-06-07
1417473224 Suzette Michele Watson Nurse Practitioner 14319 Dix-toledo, Southgate, MI 48195 2017-08-15
1275069486 Liza Du Plessis Student in an Organized Health Care Education/Training Program 13111 Allen Road, Southgate, MI 48195 2017-05-08
1497290456 Beaumont Health Clinic/Center 15777 Northline, Southgate, MI 48195 2016-12-30
1184172876 Felicia Wilson Licensed Practical Nurse 15771 Wildemere, Southgate, MI 48195 2016-09-12
1225487978 Stacey Petrick-strickland Technician, Other 12189 Agnes, Southgate, MI 48195 2016-06-03
1205298486 Ashley Francis Hearing Instrument Specialist 18800 Eureka Rd., Southgate, MICHIGAN 48195 2016-03-25
Find all providers in zip 48195

Taxonomy Information

Taxonomy Code 171M00000X
Grouping Other Service Providers
Classification Case Manager/Care Coordinator

Taxonomy Definition

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]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1003382979 Saran Charisse Watts Case Manager/Care Coordinator 31101 Allen Rd, Building 5, Southgate, MI 48195 2018-10-18
1528544558 Hallie Marie Fraser Case Manager/Care Coordinator 15679 Churchill St, Southgate, MI 48195-3290 2018-07-12
1861943441 Elizabeth Shannon Pierson Case Manager/Care Coordinator 12679 Longtin St, Southgate, MI 48195-1770 2016-10-19
1679910525 Liana Michelle Ratcliff Case Manager/Care Coordinator 14799 Dix - Toledo, Team Mental Health Svcs, Southgate, MI 48195 2013-06-03
1861031916 Brianna R Simmons Case Manager/Care Coordinator 19401 Northline Rd, Southgate, MI 48195-2277 2020-01-06
1588200240 William David Schaefer Case Manager/Care Coordinator 13101 Allen Rd Bldg 4, Southgate, MI 48195-2216 2019-11-18
1801453485 Jeremiah Scott Case Manager/Care Coordinator 14799 Dix Toledo Rd, Southgate, MI 48195-2507 2019-05-20
1902365471 Leah Lyn Longuski Case Manager/Care Coordinator 14799 Dix Toledo Rd, Southgate, MI 48195-2507 2019-03-14
1780143446 Nicole Fuerstnau Case Manager/Care Coordinator 13101 Allen Rd, Southgate, MI 48195-2216 2019-03-12
1366906893 Katelyn Rose Slominski Case Manager/Care Coordinator 19401 Northline Rd, Southgate, MI 48195-2277 2019-01-29
Find all providers in SOUTHGATE

Competitor

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City SOUTHGATE
Zip Code 48195

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Dataset Information

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.

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