Individual provider Active NPI

Jamelee Kaydian Campbell, PARTNERSHIP

  • Home Health Registered Nurse
  • Bloomfield, NJ
National Provider Identifier
1154812832
Registry record updated May 29, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health Registered NurseTaxonomy code 163WH0200X
License
HP0275700 Issued in NJ
Practice address
44 Dodd St Ste a
Bloomfield, NJ 07003-4640
Phone
(973) 259-3870
Fax
(973) 259-3871
NPI assigned
May 29, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 29, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Registered Nurse 163WH0200X HP0275700 NJ Primary

Addresses

Primary practice location

44 Dodd St Ste a
Bloomfield, NJ 07003-4640

Mailing address

44 Dodd St Ste a
Bloomfield, NJ 07003-4640
Phone (973) 259-3870

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

State licenses

LicenseStateTypeSpecialty
HP0275700NJMDHome Health Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Good Shepard 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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1527552000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1527552000000",
    "number": "1154812832",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "44 DODD ST STE A",
            "city": "BLOOMFIELD",
            "state": "NJ",
            "postal_code": "070034640",
            "telephone_number": "973-259-3870",
            "fax_number": "973-259-3871"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "44 DODD ST STE A",
            "city": "BLOOMFIELD",
            "state": "NJ",
            "postal_code": "070034640",
            "telephone_number": "973-259-3870",
            "fax_number": "973-259-3871"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAMPBELL",
        "first_name": "JAMELEE",
        "middle_name": "KAYDIAN",
        "credential": "PARTNERSHIP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-05-29",
        "last_updated": "2018-05-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WH0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Home Health",
            "state": "NJ",
            "license": "HP0275700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bloomfield, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2018; 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.