Timothy Romandel Campbell

Primary specialty

Case Manager/Care CoordinatorTaxonomy code 171M00000X

Practice address

917 Brookhurst Blvd
Yukon, OK 73099-4203

Phone

(405) 808-6808

NPI assigned

Jul 28, 2020

Sex

Male

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

Practice roles

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.

• Fountain of Hope Family Services, Inc.

  • Community/Behavioral Health Agency
  • Oklahoma City, OK
  • NPI 1679992739
  NPD (past)

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

{
    "created_epoch": "1595894400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1595894400000",
    "number": "1235748047",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10326 GREENBRIAR PKWY",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731597643",
            "telephone_number": "405-759-3860",
            "fax_number": "405-378-2486"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "917 BROOKHURST BLVD",
            "city": "YUKON",
            "state": "OK",
            "postal_code": "730994203",
            "telephone_number": "405-808-6808"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAMPBELL",
        "first_name": "TIMOTHY",
        "middle_name": "ROMANDEL",
        "name_prefix": "Mr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-07-28",
        "last_updated": "2020-07-28",
        "certification_date": "2020-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Adrianna Callari, M.A. CCC-SLP
• Fiona Amy Callender-McIntosh
• Calmmallow LLC
• Addison Marie Campbell, M.S., CF-SLP
• Randi Briann Campbell, PTA
• Lucero Paulina Campos Amador, CPRSS
• Can DO Counseling
• Canadian County Collaborative LLC
• Canadian Valley Anesthesia Services
• Chloe M Canary

• Case Manager/Care Coordinator in Yukon, OK
• Providers in Yukon, OK by specialty
• Case Manager/Care Coordinator in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2020; 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.