Chassidy Deshay Campbell, OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

6601 Issued in TN

Practice address

6605 N Quail Hollow Rd
Memphis, TN 38120-1323

Phone

(901) 617-7501

NPI assigned

Oct 19, 2021

Last updated

Oct 19, 2021By 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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1634601600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1634601600000",
    "number": "1548923311",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "287 COUNTY ROAD 247",
            "city": "WYNNE",
            "state": "AR",
            "postal_code": "723968569"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6605 N QUAIL HOLLOW RD",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381201323",
            "telephone_number": "901-617-7501"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAMPBELL",
        "first_name": "CHASSIDY",
        "middle_name": "DESHAY",
        "credential": "OTR/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-10-19",
        "last_updated": "2021-10-19",
        "certification_date": "2021-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "TN",
            "license": "6601",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amy Renee Campbell, APRN
• Angela Potter Campbell, MD
• Ayanna Campbell, MS, RD, LDN
• Brianna Campbell, N.P.
• Carey Faber Campbell, MD
• Eboni Campbell, PHARMD
• Emily Holt Campbell, M.S. CCC-SLP
• George Campbell
• Jeffery W Campbell, BSPHARM, PHARM.D.
• Jennifer Campbell, LCSW

• Occupational Therapist in Memphis, TN
• Providers in Memphis, TN by specialty
• Occupational Therapist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2021; 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.