JENNIFER CAMPBELL (NPI# 1447788757) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447788757 |
| Entity Type | Individual |
| Full Name | JENNIFER CAMPBELL |
| Credential | NP |
| Practice Address |
212 S Sullivan Ave Fremont MI 49412-1548 |
| Mailing Address |
100 Michigan St Ne # Mc845 Grand Rapids MI 49503-2560 |
| Practice Telephone | 6163913139 |
| Practice Fax Number | 6163913044 |
| Enumeration Date | 2017-05-31 |
| Last Update Date | 2017-08-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | 4704293058 | MI | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508484759 | Jennifer Campbell | Registered Nurse | 3710 Sw Us Veterans Hospital Rd Bldg 100, Portland, OR 97239-2964 | 2020-07-13 |
| 1235696725 | Jennifer Elaine Campbell | Registered Nurse | 6024 N Perryville Rd, Waddell, AZ 85355-9351 | 2019-02-21 |
| 1639617301 | Jennifer Ann Campbell | Student in an Organized Health Care Education/Training Program | 2441 Grace Blvd, Findlay, OH 45840-3980 | 2017-02-02 |
| 1255756755 | Jennifer Linn Campbell | Occupational Therapy Assistant | 205 N 7th St., Zanesville, OH 43701-3709 | 2014-02-20 |
| 1093142416 | Jennifer Dawn Campbell | Registered Nurse | 10 N. River Road, Fort Yates, ND 58538 | 2013-09-30 |
| 1073958328 | Jennifer L Campbell | Pharmacist | 840 Lincoln Ave, Steamboat Springs, CO 80487-5005 | 2013-04-30 |
| 1295099554 | Jennifer Campbell | Occupational Therapist | 250 S Alleghany Ave, Lindenhurst, NY 11757-5112 | 2012-07-01 |
| 1770846024 | Jennifer Campbell | Social Worker | 877 Sable Ridge Dr, Greenwood, IN 46142-9767 | 2012-06-21 |
| 1073814034 | Jennifer Anne Campbell | Home Health Aide | 2004 Ne 9th St, Ocala, FL 34470-6114 | 2010-11-08 |
| 1427296821 | Jennifer P Campbell | Occupational Therapist | 2524 Hallowell Rd, Litchfield, ME 04350-4022 | 2009-01-23 |
| Street Address |
212 S SULLIVAN AVE |
| City | FREMONT |
| State | MI |
| Zip Code | 49412-1548 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629070982 | Newaygo County General Hospital Association | Emergency Medicine | 212 S Sullivan Ave, Fremont, MI 49412-1548 | 2005-06-01 |
| 1558712240 | Lindsay Ann Schmiedeknecht | Obstetrics & Gynecology | 212 S Sullivan Ave, Fremont, MI 49412-1548 | 2016-06-24 |
| 1124491964 | Katie Ann Vanheck | Advanced Practice Midwife | 212 S Sullivan Ave, Fremont, MI 49412-1548 | 2015-11-02 |
| 1659753101 | Kelly Barcheski | Internal Medicine | 212 S Sullivan Ave, Fremont, MI 49412-1548 | 2015-06-22 |
| 1225415151 | Jehanna Shaelah Erho | Obstetrics & Gynecology | 212 S Sullivan Ave, Fremont, MI 49412-1548 | 2015-04-29 |
| 1063836963 | Newaygo County General Hospital Association | General Acute Care Hospital | 212 S Sullivan Ave, Fremont, MI 49412-1548 | 2014-02-12 |
| 1093147241 | Katherine Mccormick | Obstetrics & Gynecology | 212 S Sullivan Ave, Fremont, MI 49412-1548 | 2013-07-30 |
| 1700121068 | Leah Marie Bartolameolli | Physical Therapist | 212 S Sullivan Ave, Fremont, MI 49412 | 2012-11-27 |
| 1679824361 | Michael E Havens | Physician Assistant | 212 S Sullivan Ave, Fremont, MI 49412-1548 | 2012-09-21 |
| 1962776971 | Kathleen Weber | Dietitian, Registered | 212 S Sullivan Ave, Fremont, MI 49412-1548 | 2012-03-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437632437 | Claire Marie J Derks | Massage Therapist | 119 North Stone Road, Fremont, MI 49412 | 2018-09-14 |
| 1730565946 | Retirement Living Management of Fremont, L.L.C. | Assisted Living Facility | 801 E. Main Street, Fremont, MI 49412 | 2015-08-11 |
| 1497136410 | James Yon | Social Worker | 3682 S Maple Island Rd, Fremont, MI 49412 | 2015-06-16 |
| 1871864090 | Cheryl Lee Kublin | Specialist | 4554 W. 48th St, Fremont, MI 49412 | 2012-01-19 |
| 1326319583 | Colleen M Rice | Occupational Therapist | 4554 W. 48th Street, Fremont, MI 49412 | 2012-01-19 |
| 1154578847 | Greenlund Enterprises, Inc | Hearing Aid Equipment | 28 Wet Sheridan Street, Fremont, MI 49412 | 2008-08-25 |
| 1225170699 | Raymond Prins IIi | Dentist | 855 N Darling, Fremont, MI 49412 | 2007-02-13 |
| 1508933789 | Charles Merle Erickson | Dentist | 16 W Sheridan, Fremont, MI 49412 | 2006-11-30 |
| 1588741300 | Christopher Callis Niquette | Dentist | 327 Apache Dr, Fremont, MI 49412 | 2006-11-01 |
| 1417041179 | Newaygo County Resa | Local Education Agency (LEA) | 4747 W. 48th Street, Fremont, MI 49412 | 2006-10-03 |
| Find all providers in zip 49412 | ||||
| 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 |
|---|---|---|---|---|
| 1730645979 | Louvella Nuqui Pabustan | Nurse Practitioner | 889 Corporate Way, Fremont, CA 94539-6115 | 2019-02-12 |
| 1841774775 | Farah Osmani | Nurse Practitioner | 36074 Pizarro Dr, Fremont, CA 94536-5419 | 2018-09-17 |
| 1619326709 | Debra Baker | Nurse Practitioner | 3140 Elk Ln Ste 600, Fremont, NE 68025 | 2016-06-09 |
| 1043526080 | Fremont Health | Nurse Practitioner | 426 East 22nd Street, Suite 100, Fremont, NE 68025-2633 | 2010-08-27 |
| 1285676759 | Susan L Doughty | Nurse Practitioner | 39500 Liberty Street, Tri City Health Center, Fremont, CA 94538 | 2006-06-11 |
| 1215552161 | Megan Grote | Nurse Practitioner | 450 E 23rd St, Fremont, NE 68025-2303 | 2020-06-16 |
| 1366097610 | Rachael Nicole Bruechert | Nurse Practitioner | 450 E 23rd St, Fremont, NE 68025-2303 | 2019-08-05 |
| 1154895209 | Skin Envy Dermatology | Nurse Practitioner | 3140 Elk Ln Ste 600, Fremont, NE 68025-8650 | 2019-01-11 |
| 1336614213 | Kaitlin M Engle | Nurse Practitioner | N430 Wood Duck Dr, Fremont, WI 54940-8855 | 2018-10-08 |
| 1457839581 | Aye Aung | Nurse Practitioner | 2333 Mowry Ave Ste 300, Fremont, CA 94538-1626 | 2018-07-31 |
| Find all providers in FREMONT | ||||
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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.