Active NPI
Tiffeny B Campbell
- Case Manager/Care Coordinator
- Houston, TX
National Provider Identifier
1053921882
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Case Manager/Care Coordinator
- Practice address
- 519 N Sam Houston Pkwy E Ste 175
Houston, TX 77060-4054 - Phone
- (832) 943-4035
- NPI assigned
- Aug 6, 2020
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | Primary |
Addresses
Primary practice location
519 N Sam Houston Pkwy E Ste 175
Houston, TX 77060-4054
Mailing address
519 N Sam Houston Pkwy E Ste 175
Houston, TX 77060-4054
Phone (832) 943-4035
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 373188702 | Medicaid | TX |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1596672000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1596672000000",
"number": "1053921882",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "519 N SAM HOUSTON PKWY E STE 175",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770604054",
"telephone_number": "832-943-4035"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "519 N SAM HOUSTON PKWY E STE 175",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770604054",
"telephone_number": "832-943-4035"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CAMPBELL",
"first_name": "TIFFENY",
"middle_name": "B",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-08-06",
"last_updated": "2020-08-06",
"certification_date": "2020-08-06",
"status": "A"
},
"taxonomies": [
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "373188702",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Houston, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.