Jessica Campbell

Primary specialty

Speech-Language AssistantTaxonomy code 2355S0801X

License

2847 Issued in CA

Practice address

15643 Sherman Way Ste 300
Van Nuys, CA 91406-4177

Phone

(805) 760-3832

NPI assigned

Dec 10, 2018

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

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

{
    "created_epoch": "1544400000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1544400000000",
    "number": "1174094569",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15643 SHERMAN WAY STE 300",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "914064177",
            "telephone_number": "805-760-3832"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15643 SHERMAN WAY STE 300",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "914064177",
            "telephone_number": "805-760-3832"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAMPBELL",
        "first_name": "JESSICA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-12-10",
        "last_updated": "2018-12-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2355S0801X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist/Technologist, Speech-Language Assistant",
            "state": "CA",
            "license": "2847",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mirna Estela Camarena, BS
• Joanna Camargo
• Heady Campana, M.S., MFT
• Kathryn Campbell-Kelly
• Christopher Campbell
• Nicholas Ryan Campbell, PA-C
• Zachariah Campbell
• Mariana Campos Hurtado
• Carmeline Yvonne Gualvez Campos, RPH
• Claudia P Campos I

• Speech-Language Assistant in Van Nuys, CA
• Providers in Van Nuys, CA by specialty
• Speech-Language Assistant in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 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.