Krista Campbell, ATC

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

104.0106366 Issued in VT

Practice address

4 Morse Dr
Essex Junction, VT 05452-2811

Phone

(802) 857-0144

NPI assigned

Aug 20, 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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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 and National Provider Directory roles.

• Physical Therapy Center of Vermont LLC

  • Physical Therapist
  • South Burlington, VT
  • NPI 1700919818
  NPD (past)

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

{
    "created_epoch": "1408492800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1408492800000",
    "number": "1508265158",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "74 S WILLARD ST",
            "address_2": "APT #3",
            "city": "BURLINGTON",
            "state": "VT",
            "postal_code": "054013425",
            "telephone_number": "732-887-6562"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 MORSE DR",
            "city": "ESSEX JUNCTION",
            "state": "VT",
            "postal_code": "054522811",
            "telephone_number": "802-857-0144"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAMPBELL",
        "first_name": "KRISTA",
        "credential": "ATC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-08-20",
        "last_updated": "2014-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "VT",
            "license": "104.0106366",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Aaron Wallace Burley
• Thomas F Busby, DC,LACP
• Rebecca Marie Busier, O.D.
• Judith Cabanaw, RN, IBCLC
• Calm Waters, LLC
• Julia Anne Camuso, PH.D.
• Lisa Cannizzaro, MS, CCC-SLP
• Cynthia Legier Capossela, MA, CCC-S
• Maria G Carracino, M.D.
• Carrieattleylicsw LLC

• Athletic Trainer in Essex Junction, VT
• Providers in Essex Junction, VT by specialty
• Athletic Trainer in Vermont

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 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.