Amanda Lee Campbell, ATC, PTA, CSCS

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

AL5519 Issued in FL

Practice address

350 Crag Rd
Panama City Beach, FL 32407-7013

Phone

(812) 725-2279

NPI assigned

Mar 13, 2007

Sex

Female

Sole proprietor

No

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": "1173744000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1633478400000",
    "number": "1184757882",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "525 COVE VILLA ST",
            "city": "PANAMA CITY BEACH",
            "state": "FL",
            "postal_code": "324075627",
            "telephone_number": "812-725-2279"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "350 CRAG RD",
            "city": "PANAMA CITY BEACH",
            "state": "FL",
            "postal_code": "324077013",
            "telephone_number": "812-725-2279"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAMPBELL",
        "first_name": "AMANDA",
        "middle_name": "LEE",
        "name_prefix": "Mrs.",
        "credential": "ATC, PTA, CSCS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-13",
        "last_updated": "2021-10-06",
        "certification_date": "2021-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "FL",
            "license": "AL5519",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Khaileigh Nichelle Cain
• Megan Beth Cain, LMT
• Calhoun Chiropractic Center, P.a
• Lisa Renee Calhoun, D.C.
• Kelsey Calkins
• Marlana Rose Cannata
• Stephanie D Cannon, RPH
• Suzanne Ganzak Carnill, LMT
• Kristie Marie Caro
• Cambridge Carruth, PT

• Athletic Trainer in Panama City Beach, FL
• Providers in Panama City Beach, FL by specialty
• Athletic Trainer in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2021; 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.