Crystal Campbell

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

LPN140770 Issued in OH

Practice address

24200 Chagrin Blvd
Beachwood, OH 44122-5550

Phone

(216) 831-6466

NPI assigned

Aug 15, 2016

Last updated

Aug 15, 2016By the provider in NPPES

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

State licenses

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

{
    "created_epoch": "1471219200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1471219200000",
    "number": "1124572557",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5606 HAUSERMAN RD",
            "city": "PARMA",
            "state": "OH",
            "postal_code": "441301666"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24200 CHAGRIN BLVD",
            "city": "BEACHWOOD",
            "state": "OH",
            "postal_code": "441225550",
            "telephone_number": "216-831-6466"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAMPBELL",
        "first_name": "CRYSTAL",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-08-15",
        "last_updated": "2016-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "OH",
            "license": "LPN140770",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Victoria M Camp, CCC-SLP
• William L Camp Jr., MD
• Brandi Ann Campanella, PHARM.D.
• Rhonda Campbell Sutton, MSW, LISW, LCSW
• Andrea Anita Campbell, LMT
• Lisa Claire Campbell, ATR,PCC-S
• Ernest John Camponovo, M.D.
• Nancy Marie Camposo, LISW-S
• Leonardo Secchin Canale, M.D.
• Jasmine Candelario

• Licensed Practical Nurse in Beachwood, OH
• Providers in Beachwood, OH by specialty
• Licensed Practical Nurse in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2016; 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.