Mary Jane Campbell, CRNA

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

License

C01047 Issued in AR

Practice address

1910 Malvern Ave
Hot Springs, AR 71901-7752

Phone

(501) 321-1000

NPI assigned

Sep 23, 2005

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Registered Nurse

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Jonesboro Anesthesia Inc

  • Anesthesiology Physician
  • Jonesboro, AR
  • NPI 1043228448
  NPD (past)
• Ouachita Regional Anesthesia PLLC

  • Anesthesiology Physician
  • Hot Springs, AR
  • NPI 1982699153
  NPD (past)

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

{
    "created_epoch": "1127433600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1206576000000",
    "number": "1295721371",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 22390",
            "city": "HOT SPRINGS",
            "state": "AR",
            "postal_code": "719032390",
            "telephone_number": "800-235-1415",
            "fax_number": "913-234-1108"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1910 MALVERN AVE",
            "city": "HOT SPRINGS",
            "state": "AR",
            "postal_code": "719017752",
            "telephone_number": "501-321-1000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAMPBELL",
        "first_name": "MARY",
        "middle_name": "JANE",
        "name_prefix": "Ms.",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-09-23",
        "last_updated": "2008-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "AR",
            "license": "C01047",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AR BCBS",
            "identifier": "5T343",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tammy Callahan
• Lauren Leigh Callis
• Rodrigo T Camacho, APRN
• James Willoughby Campbell, M.D.
• Lisa Denise Campbell, OTR L
• John Campo, CRT
• Jerry Cannaday, DO
• Barbara M Cannon, RN
• Brandi Cannon, MHPP
• Kate J Cannon, MHPP

• Certified Registered Nurse Anesthetist in Hot Springs, AR
• Providers in Hot Springs, AR by specialty
• Certified Registered Nurse Anesthetist in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2008; 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.