Sally Anne Campbell

Primary specialty

Adult Care Home FacilityTaxonomy code 311ZA0620X

License

AF360384113 Issued in MI

Practice address

8275 Pine Knob Rd
Clarkston, MI 48348-3735

Phone

(248) 872-9872

NPI assigned

Apr 30, 2018

Sex

Female

Sole proprietor

Yes

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Apr 30, 2018.

{
    "created_epoch": "1525046400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1525046400000",
    "number": "1013405505",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8275 PINE KNOB RD",
            "city": "CLARKSTON",
            "state": "MI",
            "postal_code": "483483735",
            "telephone_number": "248-872-9872"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8275 PINE KNOB RD",
            "city": "CLARKSTON",
            "state": "MI",
            "postal_code": "483483735",
            "telephone_number": "248-872-9872"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAMPBELL",
        "first_name": "SALLY",
        "middle_name": "ANNE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-04-30",
        "last_updated": "2018-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": "MI",
            "license": "AF360384113",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Haley Camacho, PA-C
• Camela R. Ayoub LLC
• Christina L. Campbell, D.O.
• Hannah Mackenzie Campbell
• Melissa Campbell, DPT
• Nan O Campione, LMSW
• John David Canine, EDD
• Allison Canzano, BT
• Junaleth Chiong Carlson, BCBA
• Jennifer M Carr, PHARM D.

• All providers in Clarkston, MI
• Adult Care Home Facility in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.