Active NPI
Cynthia Campbell
- SNF/Subacute Care Registered Respiratory Therapist
- Jonesboro, GA
National Provider Identifier
1235505025
On this page
Key facts
NPPES NPI Registry- Primary specialty
- SNF/Subacute Care Registered Respiratory Therapist
- License
- 8812
- Practice address
- 214 Fieldstone Pkwy
Jonesboro, GA 30236-7508 - Phone
- (361) 215-2882
- NPI assigned
- Aug 15, 2015
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Respiratory Therapist | 227900000X | 67660 | TX | |
| SNF/Subacute Care Registered Respiratory Therapist | 2279S1500X | 8812 | GA | Primary |
Addresses
Primary practice location
214 Fieldstone Pkwy
Jonesboro, GA 30236-7508
Mailing address
214 Fieldstone Pkwy
Jonesboro, GA 30236-7508
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
| License | State | Type | Specialty |
|---|---|---|---|
| 8812 | GA | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1439596800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1439596800000",
"number": "1235505025",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "214 FIELDSTONE PKWY",
"city": "JONESBORO",
"state": "GA",
"postal_code": "302367508"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "214 FIELDSTONE PKWY",
"city": "JONESBORO",
"state": "GA",
"postal_code": "302367508",
"telephone_number": "361-215-2882"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CAMPBELL",
"first_name": "CYNTHIA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-08-15",
"last_updated": "2015-08-15",
"status": "A"
},
"taxonomies": [
{
"code": "227900000X",
"taxonomy_group": "",
"desc": "Respiratory Therapist, Registered",
"state": "TX",
"license": "67660",
"primary": false
},
{
"code": "2279S1500X",
"taxonomy_group": "",
"desc": "Respiratory Therapist, Registered, SNF/Subacute Care",
"state": "GA",
"license": "8812",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Jonesboro, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.