MS. JEANETTE ELLEN CAMPBELL (NPI# 1396700126) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396700126 |
| Entity Type | Individual |
| Full Name | MS. JEANETTE ELLEN CAMPBELL |
| Credential | P.N.P. |
| Practice Address |
3560 N Buffalo St Orchard Park NY 14127-1934 |
| Practice Telephone | 7166628510 |
| Practice Fax Number | 7166628574 |
| Mailing Telephone | 7166628510 |
| Mailing Fax Number | 7166628574 |
| Enumeration Date | 2006-04-17 |
| Last Update Date | 2007-07-26 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0200X |
Nurse Practitioner Specialization: Pediatrics |
380261 | NY | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 01026324 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932291580 | Jeanette M. Campbell | Pediatrics | 44656 Woodward Ave, Suite 201, Pontiac, MI 48341-5027 | 2006-09-29 |
| 1710975867 | Jeanette Campbell | Counselor | 1340 23rd Ave, Fairbanks, AK 99701-6772 | 2005-10-12 |
| 1811025752 | Jeanette Elaine Campbell | Acupuncturist | 291 S Willard St, Suite 102, Cottonwood, AZ 86326-4125 | 2007-03-01 |
| Street Address |
3560 N BUFFALO ST |
| City | ORCHARD PARK |
| State | NY |
| Zip Code | 14127-1934 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073577102 | Lori Ann Dimillo | Nurse Practitioner | 3560 N Buffalo St, Orchard Park, NY 14127-1934 | 2006-04-14 |
| 1811143639 | Kristin Elizabeth Poppenberg Duquette | Internal Medicine | 3560 N Buffalo St, Orchard Park, NY 14127-1934 | 2008-08-12 |
| 1437315215 | Dana Lynn Wymer | Internal Medicine | 3560 N Buffalo St, Orchard Park, NY 14127-1934 | 2008-07-31 |
| 1861456642 | David Robert Deberny | Internal Medicine | 3560 N Buffalo St, Orchard Park, NY 14127-1934 | 2006-04-17 |
| 1225093057 | Linda Marie Stockmeyer | Nurse Practitioner | 3560 N Buffalo St, Orchard Park, NY 14127-1934 | 2006-04-17 |
| 1497719264 | Francis Charles Mezzadri | Internal Medicine | 3560 N Buffalo St, Orchard Park, NY 14127-1934 | 2006-04-17 |
| 1396709499 | Kathleen T. Grimm | Internal Medicine | 3560 N Buffalo St, Orchard Park, NY 14127-1934 | 2006-04-14 |
| 1215991351 | Quaker Medical Associates, PC | Pediatrics | 3560 N Buffalo St, Orchard Park, NY 14127-1934 | 2006-04-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952902330 | Ellory Marie Roberts | Physical Therapist | 3065 Southwestern Blvd Ste. 108, Orchard Park Progressive Physical Therapy At Parkland P, Orchard Park, NY 14127 | 2020-11-03 |
| 1821649377 | Jeannine Ann Haak | Occupational Therapy Assistant | 6455 West Quaker Street, Orchard Park, NY 14127 | 2019-09-26 |
| 1578038147 | Cody Adam Barber | Counselor | 3176 Abbot Rd, Building A, Suite 500, Orchard Park, NY 14127 | 2018-10-09 |
| 1922522259 | Mikaela Rose Ditonto | Emergency Medical Technician, Basic | 7 Woodbine Ct., Orchard Park, NY 14127 | 2017-07-28 |
| 1770007098 | Mary C Daley | Psychologist | 196 Stonehenge Dr., Orchard Park, NY 14127 | 2017-07-28 |
| 1346762960 | Michael James Robb | Counselor | 3176 Abbott Rd., Bldg A. Suite 500, Orchard Park, NY 14127 | 2017-07-14 |
| 1740733575 | Nr Physician Group, Pllc | Radiology | 3910 N Buffalo St, Orchard Park, NY 14127 | 2016-07-28 |
| 1376096057 | Joshua E Weeks | Physician Assistant | 3671 Southwestern Blvd St 101, Suite 101, Orchard Park, NY 14127 | 2016-07-28 |
| 1922400746 | Anton Alisankus | Counselor | 272 Thorn Ave, Orchard Park, NY 14127 | 2014-09-24 |
| 1912324393 | Luke Lennox | Dermatology | 3900 N Buffalost, Williamsville, NY 14127 | 2014-03-24 |
| Find all providers in zip 14127 | ||||
| Taxonomy Code | 363LP0200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Pediatrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073577102 | Lori Ann Dimillo | Nurse Practitioner | 3560 N Buffalo St, Orchard Park, NY 14127-1934 | 2006-04-14 |
| 1952668360 | Lou Ann Gloekler | Nurse Practitioner | 3725 N Buffalo St, Suite A, Orchard Park, NY 14127-1853 | 2012-04-23 |
| 1477795003 | Pamela Riester | Nurse Practitioner | 3725 N Buffalo St, Suite A, Orchard Park, NY 14127-1853 | 2009-03-27 |
| 1902046543 | Anna Boneberg | Nurse Practitioner | 3725 N Buffalo St, Suite A, Orchard Park, NY 14127-1853 | 2009-02-23 |
| 1891896296 | Tonya Lea Gruttaria | Nurse Practitioner | 24 Carrow St, Orchard Park, NY 14127-2604 | 2006-09-26 |
| 1205937513 | Beth Mara Weiss | Nurse Practitioner | 24 Carrow St, Orchard Park, NY 14127-2604 | 2006-09-26 |
| 1366541427 | Christie Leigh Koedel | Nurse Practitioner | 24 Carrow St, Orchard Park, NY 14127-2604 | 2006-09-22 |
| 1487762258 | Etta L Storm | Nurse Practitioner | 3085 Southwestern Blvd, Suite 104, Orchard Park, NY 14127-1233 | 2006-08-29 |
| 1225093057 | Linda Marie Stockmeyer | Nurse Practitioner | 3560 N Buffalo St, Orchard Park, NY 14127-1934 | 2006-04-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932709821 | Shu-heng Wang | Nurse Practitioner | 7324 18th Ave, Brooklyn, NY 11204-5678 | 2020-10-29 |
| 1952909012 | Marina Byshovets | Nurse Practitioner | 164 Admiralty Loop, Staten Island, NY 10309-3964 | 2020-10-12 |
| 1700483799 | Dmitry Pediatrics, Pediatric Nurse Practitioner PC | Nurse Practitioner | 10 Shore Blvd Apt 1g, Brooklyn, NY 11235-4022 | 2020-10-03 |
| 1427664572 | Leigh Ann Cohen | Nurse Practitioner | 2 Lincoln Ave Ste 301, Rockville Centre, NY 11570-5775 | 2020-09-23 |
| 1295341436 | Tatiana Margaret Masone | Nurse Practitioner | 3142 Victory Blvd, Staten Island, NY 10314-6717 | 2020-09-22 |
| 1992311567 | Jyneva W Pickel | Nurse Practitioner | 3959 Broadway Rm 722, New York, NY 10032-1559 | 2020-09-19 |
| 1902410186 | Katie Elise Boyd | Nurse Practitioner | 725 Irving Ave Ste 504, Syracuse, NY 13210-1683 | 2020-09-03 |
| 1437763877 | Tiffany Yu | Nurse Practitioner | 1746 W 12th St, Brooklyn, NY 11223-1101 | 2020-09-02 |
| 1134733710 | Khristan Heagle Haller | Nurse Practitioner | 20 Locust Ln, Bronxville, NY 10708-4933 | 2020-09-01 |
| 1831703412 | Marijana Waite | Nurse Practitioner | 6544 Saunders St Apt A7, Rego Park, NY 11374-4209 | 2020-09-01 |
| Find all providers with the same taxonomy | ||||
| City | ORCHARD PARK |
| Zip Code | 14127 |
Please comment or provide details below to improve the information on MS. JEANETTE ELLEN CAMPBELL.
| 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.