Teasha Campbell

Primary specialty

Infusion Therapy Registered NurseTaxonomy code 163WI0500X

License

747108 Issued in NY

Practice address

63 Birch Ave E
Farmingdale, NY 11735-3818

Phone

(347) 530-6633

NPI assigned

Nov 2, 2023

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

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.

{
    "created_epoch": "1698883200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698883200000",
    "number": "1104699016",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "63 BIRCH AVE E",
            "city": "FARMINGDALE",
            "state": "NY",
            "postal_code": "117353818"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "63 BIRCH AVE E",
            "city": "FARMINGDALE",
            "state": "NY",
            "postal_code": "117353818",
            "telephone_number": "347-530-6633"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAMPBELL",
        "first_name": "TEASHA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-11-02",
        "last_updated": "2023-11-02",
        "certification_date": "2023-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WE0003X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Emergency",
            "state": "NY",
            "license": "747108",
            "primary": false
        },
        {
            "code": "163WI0500X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Infusion Therapy",
            "state": "NY",
            "license": "747108",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Frank Calderone, DDS
• Maria Faustina Calma, M.D.
• Karen M Camargo, LCSW
• Alessia Cammarano, PHARMD
• Marissa Campano
• Ali Can
• Calvin H Canales, LMT
• Jeanine Marie Celie Cantave, MD
• Amy Jennifer Capobianco
• Carissa Capobianco

• Infusion Therapy Registered Nurse in Farmingdale, NY
• Providers in Farmingdale, NY by specialty
• Infusion Therapy Registered Nurse in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2023; 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.