Candice S Campbell

Primary specialty

DoulaTaxonomy code 374J00000X

Legal business name

CANDICE S CAMPBELL

Practice address

7605 Regina Dr
Fort Wayne, IN 46815-8248

Phone

(260) 413-5696

NPI assigned

Mar 9, 2014

Organization subpart

No

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

Authorized official

Name

Candice Campbell

Title

Birth Doula

Phone

(260) 413-5696

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1394323200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1394323200000",
    "number": "1174949671",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7605 REGINA DR",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468158248",
            "telephone_number": "260-413-5696"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7605 REGINA DR",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468158248",
            "telephone_number": "260-413-5696"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CANDICE S CAMPBELL",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-03-09",
        "last_updated": "2014-03-09",
        "status": "A",
        "authorized_official_last_name": "CAMPBELL",
        "authorized_official_first_name": "CANDICE",
        "authorized_official_title_or_position": "BIRTH DOULA",
        "authorized_official_telephone_number": "260-413-5696"
    },
    "taxonomies": [
        {
            "code": "374J00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Doula",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PRIVATE INSURANCE",
            "identifier": "374J00000X",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Vincent Joseph Campiti, MD
• Cecilia Campos Goroztieta, RBT
• Jordan C Campos, RBT
• Isa S Canavati, MD
• Cancer Services of Allen County Inc.
• Candu Lab Services
• Edward O Canete, PT
• Charlie Cannon
• Nathan Allen Cannon, M.D./PH.D.
• Ulyssia Cannon

• Doula in Fort Wayne, IN
• Providers in Fort Wayne, IN by specialty
• Doula in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2014; 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.