Cheryle Campbell, LPN

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

216905 Issued in NY

Practice address

494 Dumont Ave
Brooklyn, NY 11207-5017

Phone

(718) 385-4000

Fax

(718) 342-7835

NPI assigned

Dec 3, 2021

Last updated

Dec 3, 2021By the provider in NPPES

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

State licenses

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

{
    "created_epoch": "1638489600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1638489600000",
    "number": "1275291551",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "494 DUMONT AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112075017",
            "telephone_number": "718-385-4000",
            "fax_number": "718-342-7835"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "494 DUMONT AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112075017",
            "telephone_number": "718-385-4000",
            "fax_number": "718-342-7835"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAMPBELL",
        "first_name": "CHERYLE",
        "credential": "LPN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-12-03",
        "last_updated": "2021-12-03",
        "certification_date": "2021-12-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "NY",
            "license": "216905",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Camille C Campbell
• Caroline Campbell
• Charmaine Hortense Campbell
• Chatequa Campbell
• Chemarra Campbell
• Chevine Jodian Campbell
• Chloe Alexandria Campbell, CM
• Chloe Madison Campbell
• Christiana Campbell, M.D.
• Christiana Campbell, COTA

• Licensed Practical Nurse in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Licensed Practical Nurse in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 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.