Katlyn Dawn Campbell

Primary specialty

Personal Care AttendantTaxonomy code 3747P1801X

Practice address

164 Gregory LN
Bridgeport, WV 26330-9546

Phone

(386) 688-4183

NPI assigned

Jun 6, 2023

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

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

{
    "created_epoch": "1686009600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686009600000",
    "number": "1578257358",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1401 CHESTNUT ST",
            "city": "KENOVA",
            "state": "WV",
            "postal_code": "255301235",
            "telephone_number": "304-453-2800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "164 GREGORY LN",
            "city": "BRIDGEPORT",
            "state": "WV",
            "postal_code": "263309546",
            "telephone_number": "386-688-4183"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAMPBELL",
        "first_name": "KATLYN",
        "middle_name": "DAWN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-06-06",
        "last_updated": "2023-06-06",
        "certification_date": "2023-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "3747P1801X",
            "taxonomy_group": "",
            "desc": "Technician, Personal Care Attendant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Heather Dawn Cain
• Leslie Cain
• Elizabeth Calef-Boring, LCSW
• Matthew Scott Camerlin, CRNA
• Christopher Campbell, L.P.C.
• Olivia Campbell, DMPNA, CRNA
• Carlie Beth Canada, M.S. CCC-SLP
• Corey Cantley, MOT
• Joshua Carpenter, LGSW
• Rebecca Carole Carpenter, MS, SLP

• Personal Care Attendant in Bridgeport, WV
• Providers in Bridgeport, WV by specialty
• Personal Care Attendant in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2023; 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.