Active NPI
Mary Campbell
- Contractor
- Chattanooga, TN
National Provider Identifier
1124588082
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Contractor
- Practice address
- 6220 Shallowford Rd Apt 573
Chattanooga, TN 37421-6921 - Phone
- (313) 974-4524
- NPI assigned
- Mar 25, 2019
- Last updated
- Mar 25, 2019
- 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 |
|---|---|---|---|---|
| Contractor | 171W00000X | TN | Primary |
Addresses
Primary practice location
6220 Shallowford Rd Apt 573
Chattanooga, TN 37421-6921
Mailing address
6220 Shallowford Rd Apt 573
Chattanooga, TN 37421-6921
Phone (313) 974-4524
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)
- Not enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Being Blessed Staffing LLC | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Home Health Agency
- Chattanooga, TN
- NPI 1023668563
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1553472000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1553472000000",
"number": "1124588082",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6220 SHALLOWFORD RD APT 573",
"city": "CHATTANOOGA",
"state": "TN",
"postal_code": "374216921",
"telephone_number": "313-974-4524"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6220 SHALLOWFORD RD APT 573",
"city": "CHATTANOOGA",
"state": "TN",
"postal_code": "374216921",
"telephone_number": "313-974-4524"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CAMPBELL",
"first_name": "MARY",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-03-25",
"last_updated": "2019-03-25",
"status": "A"
},
"taxonomies": [
{
"code": "171W00000X",
"taxonomy_group": "",
"desc": "Contractor",
"state": "TN",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Chattanooga, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.