Ansley Lynn Campbell, COTA/L

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

License

3628 Issued in SC

Practice address

330 Highway 101
Landrum, SC 29356-9216

Phone

(864) 457-6655

NPI assigned

Nov 3, 2016

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

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": "1478131200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1478131200000",
    "number": "1316499650",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "330 HIGHWAY 101",
            "city": "LANDRUM",
            "state": "SC",
            "postal_code": "293569216",
            "telephone_number": "864-457-6655"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "330 HIGHWAY 101",
            "city": "LANDRUM",
            "state": "SC",
            "postal_code": "293569216",
            "telephone_number": "864-457-6655"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAMPBELL",
        "first_name": "ANSLEY",
        "middle_name": "LYNN",
        "credential": "COTA/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-11-03",
        "last_updated": "2016-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "SC",
            "license": "3628",
            "primary": true
        },
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "NC",
            "license": "10552",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ellen Parris Boatwright
• Hailey Mullinax Branyon, PHARMD, RPH
• Kimberly Lynn Bridges, MD
• Jordan Clifford Burnett, PT, DPT
• Joanne Louise Cahill, FNP
• Kathren Brooke Carlton, BCBA
• Arielle Barraca Clark, DMD
• Jack Martin Cole, MD
• Nicolas Seth Dawson, MD
• Leslie Desimone, RPH

• All providers in Landrum, SC
• Occupational Therapy Assistant in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2016; 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.