Jada Blaiz Campbell

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

Practice address

6800 Park Ten Blvd Ste 125N
San Antonio, TX 78213-4291

Phone

(210) 685-2266

Fax

(210) 468-5573

NPI assigned

Feb 16, 2022

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1644969600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1644969600000",
    "number": "1063167278",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6800 PARK TEN BLVD STE 125N",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782134291",
            "telephone_number": "210-685-2266",
            "fax_number": "210-468-5573"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6800 PARK TEN BLVD STE 125N",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782134291",
            "telephone_number": "210-685-2266",
            "fax_number": "210-468-5573"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAMPBELL",
        "first_name": "JADA",
        "middle_name": "BLAIZ",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-02-16",
        "last_updated": "2022-02-16",
        "certification_date": "2022-02-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Diana Covington Campbell, RPH
• Donja D' Ann Campbell
• Fred C Campbell Jr., MD
• Gary Campbell
• Hugh S Campbell, D.O.
• James Edward Campbell, M.D.
• Jensen Alexander Campbell, PHD
• Jodi Campbell
• Julia Rose Campbell, OD
• Kathryn Campbell

• Behavior Technician in San Antonio, TX
• Providers in San Antonio, TX by specialty
• Behavior Technician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2022; 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.