MRS. SHANNON P CAMPBELL (NPI# 1740826494) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1740826494 |
Entity Type | Individual |
Full Name | MRS. SHANNON P CAMPBELL |
Credential | RDN, LD |
Practice Address |
717 S Houston Ave Ste 400 Tulsa OK 74127-9007 |
Mailing Address |
4417 E 58th Pl Tulsa OK 74135-4241 |
Practice Telephone | 9183824600 |
Mailing Telephone | 9182601527 |
Enumeration Date | 2019-11-18 |
Last Update Date | 2019-11-18 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 133VN1201X | 1864 | OK |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1609414200 | Shannon Kohlenberg Campbell | Social Worker | 5562 Mesa Verde Ct, Fort Worth, TX 76137-4438 | 2019-12-13 |
1982248068 | Shannon M Campbell | Day Training/Habilitation Specialist | 1126 Lafayette Dr Ne, Albuquerque, NM 87106-1904 | 2019-11-01 |
1780050419 | Shannon Campbell | Registered Nurse | 700 Charlestown Rd, Springfield, VT 05156-4400 | 2015-08-17 |
1538507439 | Shannon Campbell | Counselor | 4274 Nottingham Way, Hamilton, NJ 08690-3825 | 2013-06-13 |
1225376395 | Shannon Diane Campbell | Specialist/Technologist | 4609 W Banff Ln, Glendale, AZ 85306-3607 | 2013-01-24 |
1407013550 | Shannon Marie Campbell | Dentist | 31450 W Seven Mile Road, Suite 109, Livonia, MI 48152-1375 | 2008-05-16 |
1801855440 | Shannon D Campbell | Specialist/Technologist | 1114 9th Ave, Lewiston, ID 83501-2659 | 2006-03-22 |
1538783733 | Shannon Campbell | Speech-Language Pathologist | 42 Winter St Ste 25, Pembroke, MA 02359-4958 | 2020-06-03 |
1568081248 | Shannon Campbell | Physician Assistant | 570 Lexington Ave Fl 9, New York, NY 10022-6710 | 2020-04-13 |
1598318016 | Shannon Campbell | Physical Therapist | 500 W Grant St, Lake City, MN 55041-1143 | 2019-07-23 |
Street Address |
717 S HOUSTON AVE STE 400 |
City | TULSA |
State | OK |
Zip Code | 74127-9007 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1417150798 | Heather Dawn Rector | Pediatrics | 717 S Houston Ave Ste 400, Tulsa, OK 74127-9007 | 2007-06-06 |
1316574742 | Nidhi Rajesh Gandhi | Student in an Organized Health Care Education/Training Program | 717 S Houston Ave Ste 400, Tulsa, OK 74127-9007 | 2020-03-25 |
1447887997 | Kimberly Dawn Harrison | Student in an Organized Health Care Education/Training Program | 717 S Houston Ave Ste 400, Tulsa, OK 74127-9007 | 2020-03-25 |
1316574692 | Jill Kristine Hilden | Student in an Organized Health Care Education/Training Program | 717 S Houston Ave Ste 400, Tulsa, OK 74127-9007 | 2020-03-25 |
1942837505 | Taiwo Ajumobi | Student in an Organized Health Care Education/Training Program | 717 S Houston Ave Ste 400, Tulsa, OK 74127-9007 | 2020-03-24 |
1629605258 | Gretchan Lopez | Student in an Organized Health Care Education/Training Program | 717 S Houston Ave Ste 400, Tulsa, OK 74127-9007 | 2020-03-24 |
1619504214 | Russell Davis | Student in an Organized Health Care Education/Training Program | 717 S Houston Ave Ste 400, Tulsa, OK 74127-9007 | 2020-03-24 |
1013543917 | Christine Susan Kurien | Student in an Organized Health Care Education/Training Program | 717 S Houston Ave Ste 400, Tulsa, OK 74127-9007 | 2020-03-23 |
1275160020 | Ryan Leachman | Student in an Organized Health Care Education/Training Program | 717 S Houston Ave Ste 400, Tulsa, OK 74127-9007 | 2020-03-23 |
1467088468 | David George | Student in an Organized Health Care Education/Training Program | 717 S Houston Ave Ste 400, Tulsa, OK 74127-9007 | 2020-03-21 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1366966699 | Tarell Lynell Earl | Case Manager/Care Coordinator | 602 N. 28th W. Pl., Tulsa, OK 74127 | 2017-07-28 |
1023538014 | Milton Dean IIi | Counselor | 1234 N Rosedale, Tulsa, OK 74127 | 2017-06-21 |
1740700988 | Lisa Lee Ann Gilliland | Case Manager/Care Coordinator | 2001 W Ute Pl, Tulsa, OK 74127 | 2017-06-20 |
1114456498 | Kevin Thomas Jackson | Counselor | 310 S 49th W Ave, Tulsa, OK 74127 | 2017-06-08 |
1427406180 | Byron Conrad Dixon Jr. | Case Manager/Care Coordinator | 551 N. 28th W. Ave., Tulsa, OK 74127 | 2016-06-02 |
1548621568 | Brandon Worth | Student in an Organized Health Care Education/Training Program | 717 S. Houston Ave., Suite 400, Tulsa, OK 74127 | 2016-03-18 |
1073987467 | Jo Lowe | Social Worker | 420 S. Lawton Ave. Apt 315, Tulsa, OK 74127 | 2015-11-23 |
1154718575 | William Hughes | Health Educator | 3101 W Edison, Tulsa, OK 74127 | 2015-04-23 |
1801289665 | Kristyn Janelle Zrenda | Student in an Organized Health Care Education/Training Program | 717 S. Houston Ave., Suite 400, Tulsa, OK 74127 | 2015-03-17 |
1831595719 | Mallory Yarbrough | Counselor | 3005 N 24th West Ave, Tulsa, OK 74127 | 2014-11-05 |
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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.