Active NPI
Susan L Campbell, CNM
- Advanced Practice Midwife
- Athens, OH
National Provider Identifier
1063413029
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Advanced Practice Midwife
- License
- APRN.CNM.10196
- Practice address
- 2131 East State St.
Athens, OH 45701 - Phone
- (740) 589-3100
- Fax
- (740) 589-3123
- NPI assigned
- Aug 2, 2005
- Last updated
- Nov 9, 2017
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Advanced Practice Midwife | 367A00000X | APRN.CNM.10196 | OH | Primary |
Addresses
Primary practice location
2131 East State St.
Athens, OH 45701
Mailing address
90 Jackson Pike
Gallipolis, OH 45631-1560
Phone (740) 589-3100
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2882288 | Medicaid | OH | |
| 3810013422 | Medicaid | WV | |
| 2882288 | Other | OH | OH MEDICAID MOLINA |
| 000000259823 | Other | OH | OH MEDICAID UNISON |
| 310917085201 | Other | OH | OH MEDICAID CARESOURCE |
| P00665594 | Other | RAILROAD MEDICARE |
Other names 1
- Sue L Campbell
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)
- Enrolled
- Credentials
- Certified Nurse Midwife
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| APRN.CNM.10196 | OH | MD | Advanced Practice Midwife |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1122940800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1510185600000",
"number": "1063413029",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "90 JACKSON PIKE",
"city": "GALLIPOLIS",
"state": "OH",
"postal_code": "456311560",
"telephone_number": "740-589-3100",
"fax_number": "740-589-3123"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2131 EAST STATE ST.",
"city": "ATHENS",
"state": "OH",
"postal_code": "45701",
"telephone_number": "740-589-3100",
"fax_number": "740-589-3123"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CAMPBELL",
"first_name": "SUSAN",
"middle_name": "L",
"credential": "CNM",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-08-02",
"last_updated": "2017-11-09",
"status": "A"
},
"taxonomies": [
{
"code": "367A00000X",
"taxonomy_group": "",
"desc": "Advanced Practice Midwife",
"state": "OH",
"license": "APRN.CNM.10196",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2882288",
"state": "OH"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3810013422",
"state": "WV"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OH MEDICAID MOLINA",
"identifier": "2882288",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OH MEDICAID UNISON",
"identifier": "000000259823",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OH MEDICAID CARESOURCE",
"identifier": "310917085201",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "P00665594",
"state": null
}
],
"endpoints": [],
"other_names": [
{
"first_name": "SUE",
"last_name": "CAMPBELL",
"middle_name": "L",
"credential": "CNM",
"code": "5",
"type": "Other Name"
}
]
}Other providers in Athens, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.