Active NPI
Liza Marie Campbell, DC
- Chiropractor
- Bloomington, IN
National Provider Identifier
1417269085
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 08002520A
- Practice address
- 3880 E 3Rd St Ste C
Bloomington, IN 47401-5526 - Phone
- (765) 265-0086
- Fax
- (855) 796-5605
- NPI assigned
- Jul 12, 2010
- Last updated
- Feb 2, 2025
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 08002520A | IN | Primary |
Addresses
Primary practice location
3880 E 3Rd St Ste C
Bloomington, IN 47401-5526
Mailing address
PO Box 608
Bedford, IN 47421-0608
Phone (812) 275-4419
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200871640A | Medicaid | IN |
Other names 1
- Dr. Liza Marie Campbell
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Logan College of Chiropractic, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
3880 E 3Rd St
Suite C
Bloomington, IN 47401-5526
Phone (812) 320-1503
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 08002520A | IN | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Campbell Chiropractic and Rehabilitation | Chiropractor | Current | Accepting new patients |
| John D Lockenour D C Inc | Chiropractor | Past | Accepting new patients |
| Community Physicians of Indiana Inc | Past | Accepting new patients |
Locations
3880 E 3rd St
Ste C
Bloomington, IN 47401
Phone (765) 265-0086
Organizations & group practices 3
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.
-
- Chiropractor
- Bloomington, IN
- NPI 1366258329
-
dba Community Physician Network
- Endocrinology, Diabetes & Metabolism Physician
- Carmel, IN
- NPI 1992396337
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1278892800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1738454400000",
"number": "1417269085",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 608",
"city": "BEDFORD",
"state": "IN",
"postal_code": "474210608",
"telephone_number": "812-275-4419",
"fax_number": "812-275-8044"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3880 E 3RD ST STE C",
"city": "BLOOMINGTON",
"state": "IN",
"postal_code": "474015526",
"telephone_number": "765-265-0086",
"fax_number": "855-796-5605"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CAMPBELL",
"first_name": "LIZA",
"middle_name": "MARIE",
"name_prefix": "Dr.",
"credential": "DC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-07-12",
"last_updated": "2025-02-02",
"certification_date": "2025-02-02",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "IN",
"license": "08002520A",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200871640A",
"state": "IN"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "LIZA",
"last_name": "CAMPBELL",
"middle_name": "MARIE",
"prefix": "DR.",
"credential": "DC",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in Bloomington, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.