ANGELA CHERMAYNE CAMPBELL (NPI# 1750866570) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750866570 |
| Entity Type | Individual |
| Full Name | ANGELA CHERMAYNE CAMPBELL |
| Practice Address |
5080 N Elston Ave Chicago IL 60630-2459 |
| Practice Telephone | 7735055005 |
| Enumeration Date | 2018-09-27 |
| Last Update Date | 2018-09-27 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 171M00000X | Case Manager/Care Coordinator | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629470166 | Angela Denise Campbell | Licensed Practical Nurse | 1061 Harmon Ave Bldg 302, Fort Stewart, GA 31314-5641 | 2014-09-16 |
| 1013342906 | Angela Campbell | Registered Nurse | 1323 Butterfield Rd Ste 116, Downers Grove, IL 60515-5620 | 2013-09-10 |
| 1922447440 | Angela Sue Campbell | Registered Nurse | 86 Corwin St, Norwalk, OH 44857-2243 | 2013-06-18 |
| 1801133855 | Angela Marie Campbell | Nurse Practitioner | 2011 Nw 3 Ave, Pompano Beach, FL 33060-4800 | 2013-01-10 |
| 1093087397 | Angela Agatha Campbell | Registered Nurse | 53 Gerow Ave, Spring Valley, NY 10977-5738 | 2012-02-01 |
| 1811265572 | Angela Marie Campbell | Nurse Practitioner | 58 Bay Harbour Dr, Ponce Inlet, FL 32127-7241 | 2011-12-09 |
| 1376144238 | Angela Denise Campbell | Counselor | 5122 Glencrossing Way, Cincinnati, OH 45238-3361 | 2020-11-05 |
| 1336749704 | Angela Hughes Campbell | Pharmacist | 6801 S Broadway Ave, Tyler, TX 75703-4733 | 2020-10-27 |
| 1891392171 | Angela Campbell | Counselor | 221 Wells Ave S, Renton, WA 98057-2161 | 2020-10-08 |
| 1720517964 | Angela Ruthmarie Campbell | Behavior Technician | 3214 W Mcgraw St Ste 212, Seattle, WA 98199-3239 | 2017-06-10 |
| Street Address |
5080 N ELSTON AVE |
| City | CHICAGO |
| State | IL |
| Zip Code | 60630-2459 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104918127 | Angel Fernando Freire | Social Worker | 5080 N Elston Ave, Chicago, IL 60630-2459 | 2006-09-28 |
| 1316546260 | Kleah Fernandez | Social Worker | 5080 N Elston Ave, Chicago, IL 60630-2459 | 2020-10-21 |
| 1760003917 | Jamica Harper | Case Manager/Care Coordinator | 5080 N Elston Ave, Chicago, IL 60630-2459 | 2020-04-29 |
| 1104451368 | Kathryn Ogodogu | Counselor | 5080 N Elston Ave, Chicago, IL 60630-2459 | 2020-03-09 |
| 1588299705 | Dorothy Jakubowski | Social Worker | 5080 N Elston Ave, Chicago, IL 60630-2459 | 2020-03-09 |
| 1518592617 | Tiffany R. Gunn | Counselor | 5080 N Elston Ave, Chicago, IL 60630-2459 | 2020-03-09 |
| 1639702509 | Kylie N Doorn | Case Manager/Care Coordinator | 5080 N Elston Ave, Chicago, IL 60630-2459 | 2020-02-19 |
| 1336781681 | Saadiq Bey | Social Worker | 5080 N Elston Ave, Chicago, IL 60630-2459 | 2019-10-08 |
| 1134684095 | Brian T Greenwood | Social Worker | 5080 N Elston Ave, Chicago, IL 60630-2459 | 2019-02-05 |
| 1548731524 | Oluwaseun Adekola Abanikanda | Case Management | 5080 N Elston Ave, Chicago, IL 60630-2459 | 2018-12-17 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972116499 | Highland Park Cvs LLC | Durable Medical Equipment & Medical Supplies | 4631 W Foster Ave, Chicago, IL 60630 | 2020-08-25 |
| 1811419476 | Jill Swartzmiller | Occupational Therapist | 5248 N Liano Ave, Chicago, IL 60630 | 2017-07-14 |
| 1588193908 | Vanessa Landa | Behavior Technician | 4831 N Mobile, Chicago, IL 60630 | 2017-06-08 |
| 1851753784 | Claudia Melendez | Counselor | 4935 N Kedvale Ave., 1st Flr., Chicago, IL 60630 | 2016-03-21 |
| 1174983795 | Cheryl Ann Howe | Speech-Language Pathologist | 4714 N. Laramie Ave., Chicago, IL 60630 | 2016-02-24 |
| 1740657055 | Nihar Shah | Pharmacist | 4010 W Lawrence, Chicago, IL 60630 | 2015-08-24 |
| 1326450966 | Robert E Placzek | Dentist | 5650 W. Lawrence Ave., Chicago, IL 60630 | 2014-06-02 |
| 1730426545 | Violet Bernadet Mcguane | Nurse Practitioner | 4801 N Central, Chicago, IL 60630 | 2013-01-14 |
| 1639455231 | Jinnah A Caluag | Pharmacist | 4010 W. Lawrence, Chicago, IL 60630 | 2011-10-26 |
| 1255616256 | Marcus Kim | Pharmacist | 4010 W. Lawrence Ave, Chicago, IL 60630 | 2011-10-21 |
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| Taxonomy Code | 171M00000X |
| Grouping | Other Service Providers |
| Classification | Case Manager/Care Coordinator |
| A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee’s progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management. |
| Notes: Source: CMS State Medicaid Manual Section 4442.3 [7/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740887157 | Forefront Healthcare Solutions, Inc. | Case Manager/Care Coordinator | 60 E Monroe St Unit 3801, Chicago, IL 60603-2751 | 2020-10-08 |
| 1205441698 | Desirae Mccrainey | Case Manager/Care Coordinator | 55 E Monroe St Ste 38109, Chicago, IL 60603-5713 | 2020-09-11 |
| 1659993954 | Aubrey Williams | Case Manager/Care Coordinator | 1533 W Warren Blvd, Chicago, IL 60607-1852 | 2020-05-11 |
| 1154942449 | Keisha Davell Cole | Case Manager/Care Coordinator | 612 S Western Ave Unit 1, Chicago, IL 60612 | 2020-04-28 |
| 1235772864 | Rebekah Johnson | Case Manager/Care Coordinator | 208 E 87th St, Chicago, IL 60619-6040 | 2019-10-27 |
| 1619447497 | Bria Stanciel | Case Manager/Care Coordinator | 8419 S Cottage Grove, Chicago, IL 60619 | 2018-12-05 |
| 1518442326 | Jeanta Barnes | Case Manager/Care Coordinator | 8058 S Yates Blvd, Chicago, IL 60617-1103 | 2018-09-27 |
| 1407333685 | 4d Healthware, LLC | Case Manager/Care Coordinator | 401 N Michigan Ave Ste 1740, Chicago, IL 60611-4742 | 2018-07-20 |
| 1174018774 | July Miranda | Case Manager/Care Coordinator | 2309 W 19th St, Chicago, IL 60608-2512 | 2018-06-26 |
| 1578063285 | Nisha Naiknimbalkar | Case Manager/Care Coordinator | 4127 S Drexel Blvd Apt 2s, Chicago, IL 60653-2865 | 2018-02-19 |
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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.