SHANNETTE CAMPBELL (NPI# 1740677210) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740677210 |
| Entity Type | Individual |
| Full Name | SHANNETTE CAMPBELL |
| Credential | NP-C |
| Practice Address |
1100 Reid Pkwy Reid Hospital & Health Care Services Richmond IN 47374-1157 |
| Mailing Address |
1100 Reid Pkwy Medical Staff Services Richmond IN 47374-1157 |
| Practice Telephone | 7659833050 |
| Practice Fax Number | 7659357950 |
| Mailing Telephone | 7659833050 |
| Mailing Fax Number | 7659357950 |
| Enumeration Date | 2015-04-22 |
| Last Update Date | 2020-11-09 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363L00000X | Nurse Practitioner | 71005432A | IN | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
71005432A | IN | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | ANTHEM (REID PHYSICIAN ASSOCIATES, INC.) | 000000938346 | 01 |
| IN | 201286480 | 05 | |
| OH | 0128143 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 101 S 10th St, Richmond, IN 473745547 | 7659654299 | 7659620030 |
| Street Address |
1100 REID PKWY REID HOSPITAL & HEALTH CARE SERVICES |
| City | RICHMOND |
| State | IN |
| Zip Code | 47374-1157 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801891189 | Michael J Buckmaster | Surgery | 1100 Reid Pkwy, Suite 215, Richmond, IN 47374-1157 | 2005-06-14 |
| 1740888288 | David J Warwick | Nurse Practitioner | 1100 Reid Pkwy, Richmond, IN 47374-1157 | 2020-10-16 |
| 1366040065 | Adebisi Mary Adeyemi | Student in an Organized Health Care Education/Training Program | 1100 Reid Pkwy, Richmond, IN 47374-1157 | 2020-10-14 |
| 1629688890 | Zachary Hayes | Nurse Practitioner | 1100 Reid Pkwy, Richmond, IN 47374-1157 | 2020-08-03 |
| 1326667684 | Ibrahim Ali Khan | Student in an Organized Health Care Education/Training Program | 1100 Reid Pkwy, Richmond, IN 47374-1157 | 2020-04-15 |
| 1215566575 | Jonathan A Adams | Student in an Organized Health Care Education/Training Program | 1100 Reid Pkwy, Richmond, IN 47374-1157 | 2020-04-07 |
| 1003445958 | Kimberly Carhuatanta | Student in an Organized Health Care Education/Training Program | 1100 Reid Pkwy, Richmond, IN 47374-1157 | 2020-04-03 |
| 1942839717 | Abdallah Saleh | Student in an Organized Health Care Education/Training Program | 1100 Reid Pkwy, Richmond, IN 47374-1157 | 2020-04-03 |
| 1851920748 | Dustin Cundiff | Student in an Organized Health Care Education/Training Program | 1100 Reid Pkwy, Richmond, IN 47374-1157 | 2020-04-03 |
| 1861021735 | Waiel Almardini | Student in an Organized Health Care Education/Training Program | 1100 Reid Pkwy, Richmond, IN 47374-1157 | 2020-04-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245724566 | Meridian Health Services Corp | Substance Abuse Rehabilitation Facility | 498 Nw 18th St., Bldg. 416, Suite A, Richmond, IN 47374 | 2018-06-20 |
| 1699274472 | Happy Hearts Home Care Corp | In Home Supportive Care | 335 Sw 17th Street, Richmond, IN 47374 | 2018-02-07 |
| 1922528504 | Erin A Chung | Internal Medicine | 1050 Reid Parkway, Suite 300, Reid Hospital Family Medicine Residency, Richmond, IN 47374 | 2017-06-23 |
| 1023538899 | Andrea Dengler | Registered Nurse | 1501 Chester Blvd., Reid Urgent Care, Richmond, IN 47374 | 2017-06-22 |
| 1497284186 | Lindsay A Worley | Nurse Practitioner | 1050 Reid Pkwy, Ste. 325, Urological Care, Richmond, IN 47374 | 2017-06-07 |
| 1689112039 | Shantil Dickerson | Physical Therapist | 22 Nw 11th St., Richmond, IN 47374 | 2017-02-06 |
| 1073058772 | Meridian Health Services Corp | Substance Abuse Rehabilitation Facility | 498 Nw 18th St Bldg 416, Richmond, IN 47374 | 2017-01-04 |
| 1538564216 | Lauren Joos | Physician Assistant | 1380 Lakeview Court, Richmond, IN 47374 | 2014-10-23 |
| 1588074421 | Emily Rutherford | Pharmacist | 2057 Chester Blvd, Richmond, IN 47374 | 2014-04-30 |
| 1922357870 | Elizabeth Ann Mullins | Social Worker | 301 South 4th St., Richmond, IN 47374 | 2012-09-06 |
| Find all providers in zip 47374 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952908519 | Demia Houston Louis | Nurse Practitioner | 19722 Norfolk Ridge Way, Richmond, TX 77407-7124 | 2020-10-07 |
| 1134726284 | Tara Hart | Nurse Practitioner | 521 Lancaster Ave # 223, Richmond, KY 40475-3102 | 2020-10-01 |
| 1689280372 | Chinyere Onyemaechi Adiuku | Nurse Practitioner | Chinyere Adiuku, 17831 Planters Path Lane, Richmond, TX 77407-7740 | 2020-09-18 |
| 1598379596 | Rebecca Pfeifer-rosenblum | Nurse Practitioner | 5939 Sutter Ave, Richmond, CA 94804-5260 | 2020-09-07 |
| 1578176970 | Grace Pulliam Gilmore | Nurse Practitioner | 29 Malvern Ave Apt 5, Richmond, VA 23221-2666 | 2020-08-25 |
| 1891306429 | Caroline Njuguna | Nurse Practitioner | 7210 Still Haven Dr, Richmond, TX 77407-7131 | 2020-08-17 |
| 1720699143 | Rukayat Omolara Yusuf | Nurse Practitioner | 8506 Heather Maple Ct, Richmond, TX 77407-2476 | 2020-08-10 |
| 1457969859 | Richmond Medical Group Inc | Nurse Practitioner | 1407 Mustang Lake Ct, Richmond, TX 77406-7961 | 2020-07-21 |
| 1093332744 | Patience I Nehikhuere | Nurse Practitioner | 7519 Misty Meadow Ct, Richmond, TX 77469-7322 | 2020-06-29 |
| 1275150252 | Ngozi Mba | Nurse Practitioner | 11335 Sandhaven Dr, Richmond, TX 77407-4534 | 2020-06-25 |
| Find all providers in RICHMOND | ||||
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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.