Imani Ife Campbell, LPN

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

300176-1 Issued in NY

Practice address

323 South 10TH Ave
Mt. Vernon, NY 10550

Phone

(917) 870-0392

NPI assigned

May 2, 2014

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

Other names 1

• Imani I Campbell Professional name

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": "1398988800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1398988800000",
    "number": "1477963254",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "323 S 10TH AVE",
            "city": "MOUNT VERNON",
            "state": "NY",
            "postal_code": "105504009",
            "telephone_number": "917-870-0392"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "323 SOUTH 10TH AVE",
            "city": "MT. VERNON",
            "state": "NY",
            "postal_code": "10550",
            "telephone_number": "917-870-0392"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAMPBELL",
        "first_name": "IMANI",
        "middle_name": "IFE",
        "credential": "LPN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-05-02",
        "last_updated": "2014-05-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "NY",
            "license": "300176-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LPN",
            "identifier": "300176-1",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "IMANI",
            "last_name": "CAMPBELL",
            "middle_name": "I",
            "credential": "LPN",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Winsley Calip-Yero, NP
• Call Click Media LLC
• Naurda Cameron
• Claudette A Campbell, FNP-BC
• Deidre Campbell, RN
• Lois P Campbell, REGISTERED NURSE
• Nickayla Campbell
• Nordia Campbell
• La Sheune Cantey
• Gabrielle Caraballo, LPN

• Licensed Practical Nurse in Mt. Vernon, NY
• Providers in Mt. Vernon, 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 May 2, 2014; 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.