JESICA CAMPBELL (NPI# 1225587447) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225587447 |
| Entity Type | Individual |
| Full Name | JESICA CAMPBELL |
| Credential | N.P. |
| Practice Address |
16216 Baxter Rd Suite 100 Chesterfield MO 63017-4770 |
| Mailing Address |
16216 Baxter Rd Ste 100 Chesterfield MO 63017-4778 |
| Practice Telephone | 6364494700 |
| Practice Fax Number | 6364492595 |
| Mailing Telephone | 5732910638 |
| Enumeration Date | 2016-09-29 |
| Last Update Date | 2016-11-30 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LW0102X |
Nurse Practitioner Specialization: Women's Health |
2016035057 | MO | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
16216 BAXTER RD SUITE 100 |
| City | CHESTERFIELD |
| State | MO |
| Zip Code | 63017-4770 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326034489 | Mark Charles Kory | Dermatology | 16216 Baxter Rd, Suite 200, Chesterfield, MO 63017-4770 | 2005-09-23 |
| 1477041168 | Sophia Elizabeth Wilhelmina Strydom | Behavioral Analyst | 16216 Baxter Rd, Chesterfield, MO 63017-4770 | 2018-04-27 |
| 1336674258 | Smartage LLC | Licensed Practical Nurse | 16216 Baxter Rd, Suite 100, Chesterfield, MO 63017-4770 | 2017-04-28 |
| 1629517297 | Kelsey Sack | Speech-Language Pathologist | 16216 Baxter Rd, Chesterfield, MO 63017-4770 | 2017-02-15 |
| 1154779072 | Joseph L. Hollingsworth | Chiropractor | 16216 Baxter Rd, Ste 190, Chesterfield, MO 63017-4770 | 2016-06-01 |
| 1114394616 | Monica Uthlaut | Counselor | 16216 Baxter Rd, Ste. 205, Chesterfield, MO 63017-4770 | 2015-08-31 |
| 1568843001 | Danielle Ridolfi | Psychologist | 16216 Baxter Rd, Suite 205, Chesterfield, MO 63017-4770 | 2015-06-10 |
| 1457743734 | Chelsea Jacobs | Chiropractor | 16216 Baxter Rd, Suite 190, Chesterfield, MO 63017-4770 | 2015-02-24 |
| 1134522881 | Chesterfield Spine & Sports Medicine Center LLC | Physical Medicine & Rehabilitation | 16216 Baxter Rd, Suite 190, Chesterfield, MO 63017-4770 | 2014-10-08 |
| 1497156905 | Slwhg 2 LLC | Obstetrics & Gynecology | 16216 Baxter Rd, Suite 100, Chesterfield, MO 63017-4770 | 2014-09-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114549193 | Kathryn E Bos | Student in an Organized Health Care Education/Training Program | 873 Apt N Foxsprings Dr, Chesterfield, MO 63017 | 2020-05-12 |
| 1700415171 | Charles H. Edwards | Physical Therapist | 224 South Woods Millrd., Suite 610 South, Chesterfield, MO 63017 | 2020-04-07 |
| 1003454562 | Stephanie Henningsen | Physical Therapy Assistant | 307 S Woods Rd, Chesterfield, MO 63017 | 2019-12-16 |
| 1831746296 | Star Lynn Sutton | Occupational Therapy Assistant | 15207 Olive Boulevard, Chesterfield, MO 63017 | 2019-08-21 |
| 1639738438 | Van Amburg & Busiek Md's, LLC | Pharmacy | 232 S Woodsmill Road, Suite 330 East, Chesterfield, MO 63017 | 2019-06-06 |
| 1306306865 | Margaret Mary Wynn | Nurse Practitioner | 15740 South Outer Road, Chesterfield, MO 63017 | 2019-03-21 |
| 1205393089 | Kimberly Danielle | Nurse Practitioner | 744 Forest Trace Dr, Chesterfield, MO 63017 | 2019-02-27 |
| 1457823965 | Allison Joy Mcgrail | Dietitian, Registered | 45740 S Outer Forty Rd, Chesterfield, MO 63017 | 2018-12-21 |
| 1316418080 | Julie Lefere | Social Worker | Mercy Virtual Care Center, 15740 S Outer 40 Rd, Chesterfield, MO 63017 | 2018-12-06 |
| 1336629641 | Catherine Dolphin Smith | Nurse Practitioner | 224 S Woods Mill Rd Ste 500, Chesterfield, MO 63017 | 2018-08-16 |
| Find all providers in zip 63017 | ||||
| Taxonomy Code | 363LW0102X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Women's Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588989453 | Angela Rae Sqrow | Nurse Practitioner | 232 S Woods Mill Rd, Suite 200 East, Chesterfield, MO 63017-3406 | 2010-04-02 |
| 1992932412 | Dominique Lucille-marie Gits | Nurse Practitioner | 9501 Lucy Corr Cir, Chesterfield, VA 23832-6697 | 2009-06-11 |
| 1396940367 | Angela Marie Hall | Nurse Practitioner | 226 S Woods Mill Rd, Suite 60 West, Chesterfield, MO 63017 | 2007-06-19 |
| 1568679066 | Kymberly Denise Renkoski | Nurse Practitioner | 16216 Baxter Rd, Suite 100, Chesterfield, MO 63017-4770 | 2007-05-16 |
| 1528274594 | Heather Marie Anderson Siebers | Nurse Practitioner | 16216 Baxter Rd, Suite 100, Chesterfield, MO 63017-4770 | 2007-05-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356956304 | Andrea Marie Sleeth | Nurse Practitioner | 3329 W Sexton St, Springfield, MO 65810-1080 | 2020-09-15 |
| 1972112720 | Amy Elizabeth Richardson | Nurse Practitioner | 306 E Summit St, Doniphan, MO 63935-1332 | 2020-07-28 |
| 1417578873 | Saskia Naomi Chaskelson | Nurse Practitioner | 1309 Louisville Ave, Saint Louis, MO 63139-3421 | 2020-04-27 |
| 1811531395 | Melanie Melissa Miranda | Nurse Practitioner | 23 Clayton Ter, Frontenac, MO 63131-2920 | 2019-10-29 |
| 1902450695 | Erica Walter | Nurse Practitioner | 4590 Childrens Pl Fl 4, Saint Louis, MO 63110-1020 | 2019-07-31 |
| 1285288274 | Megan Cecile Johnson | Nurse Practitioner | 7924 Ne 53rd St, Kansas City, MO 64119-4149 | 2019-07-28 |
| 1255839916 | Valerie Latrice Johnson | Nurse Practitioner | 2796 N Lindbergh Blvd, Florissant, MO 63033-1402 | 2018-01-29 |
| 1801305677 | Courtney E Turnbough | Nurse Practitioner | 621 S New Ballas Rd Ste 2002b, Saint Louis, MO 63141-8265 | 2017-09-25 |
| 1710357280 | Terri Lablance | Nurse Practitioner | 3905 Bernard Powell Dr, Kansas City, MO 64127-3427 | 2015-09-28 |
| 1932443058 | Catherine Griffin | Nurse Practitioner | 33 Ayrshire Rd., St. Charles, MO 63303-3129 | 2012-11-15 |
| Find all providers with the same taxonomy | ||||
| City | CHESTERFIELD |
| Zip Code | 63017 |
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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.