Active NPI
Julie Ann Campbell, CHIROPRACTOR
- Chiropractor
- Fort Myers, FL
National Provider Identifier
1104098011
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- CH 8491
- Practice address
- 6309 Corporate CT
Ste a
Fort Myers, FL 33919-3538 - Phone
- (239) 433-1011
- NPI assigned
- Mar 31, 2008
- 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 |
|---|---|---|---|---|
| Chiropractor | 111N00000X | CH 8491 | FL | Primary |
Addresses
Primary practice location
6309 Corporate CT
Ste a
Fort Myers, FL 33919-3538
Mailing address
6309 Corporate CT
Ste a
Fort Myers, FL 33919-3538
Phone (239) 433-1011
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040611001042 | FL | Practitioner - Chiropractic | 9133102858 | Practice locations: Fort Myers, FL |
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Northwestern College of Chiropractic, 1995
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
1924 Park Meadows Dr
Suite 2
Fort Myers, FL 33907-3750
Phone (239) 728-5496
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CH 8491 | FL | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1206921600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1206921600000",
"number": "1104098011",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6309 CORPORATE CT",
"address_2": "STE A",
"city": "FORT MYERS",
"state": "FL",
"postal_code": "339193538",
"telephone_number": "239-433-1011"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6309 CORPORATE CT",
"address_2": "STE A",
"city": "FORT MYERS",
"state": "FL",
"postal_code": "339193538",
"telephone_number": "239-433-1011"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CAMPBELL",
"first_name": "JULIE",
"middle_name": "ANN",
"credential": "CHIROPRACTOR",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-03-31",
"last_updated": "2008-03-31",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "FL",
"license": "CH 8491",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fort Myers, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.