Kathy Mary Campbell

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

MT045458 Issued in TX

Practice address

2309 Sycamore TRL
Round Rock, TX 78664-7767

Phone

(512) 786-1672

NPI assigned

Sep 4, 2019

Last updated

Sep 4, 2019By 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

Electronic endpoints 2

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": "1567555200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1567555200000",
    "number": "1396394219",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2309 SYCAMORE TRL",
            "city": "ROUND ROCK",
            "state": "TX",
            "postal_code": "786647767",
            "telephone_number": "512-786-1672"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2309 SYCAMORE TRL",
            "city": "ROUND ROCK",
            "state": "TX",
            "postal_code": "786647767",
            "telephone_number": "512-786-1672"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAMPBELL",
        "first_name": "KATHY",
        "middle_name": "MARY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-09-04",
        "last_updated": "2019-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "TX",
            "license": "MT045458",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "songg07@yahoo.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "2309 Sycamore Trl",
            "city": "Round Rock",
            "state": "TX",
            "country_code": "US",
            "postal_code": "786647767",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "songg07@yahoo.com",
            "affiliation": "N",
            "endpointDescription": "2309 sycamore trail Round Rock TX 78664",
            "address_1": "2309 Sycamore Trl",
            "city": "Round Rock",
            "state": "TX",
            "country_code": "US",
            "postal_code": "786647767",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Hope Camacho
• Mandy Beth Cameron
• Carlee Jeremi Campbell, MS., CCC-SLP
• Charles Campbell, FNP-C
• Joy Rose Campbell, LPC
• Carolina Campos
• Erika June Canales, PH.D.
• Demir Mikael Candas, PA-C
• Melissa Cannington
• Annette H Cannon

• Massage Therapist in Round Rock, TX
• Providers in Round Rock, TX by specialty
• Massage Therapist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2019; 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.