Active NPI
Beth Maria Campbell, LPN
- Licensed Practical Nurse
- Alliance, OH
National Provider Identifier
1609236066
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Licensed Practical Nurse
- License
- LPN131574MEDS-IV
- Practice address
- 200 E State St FL 3
Alliance, OH 44601-4936 - Phone
- (330) 821-8503
- Fax
- (330) 627-0088
- NPI assigned
- Feb 28, 2016
- Last updated
- Jan 24, 2020
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Attendant Care Provider | 3747A0650X | PN131574 | ||
| Licensed Practical Nurse | 164W00000X | LPN131574MEDS-IV | OH | Primary |
Addresses
Primary practice location
200 E State St FL 3
Alliance, OH 44601-4936
Mailing address
625 Cleveland Ave NW
Canton, OH 44702-1805
Phone (330) 455-0374
Other practice location 1
1296 Fairlawn St
Louisville, OH 44641-2402
Phone (330) 309-4134
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LPN131574MEDS-IV | OH | MD | Licensed Practical Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Commquest Services, Inc. | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Substance Use Disorder Rehabilitation Clinic/Center
- Canton, OH
- NPI 1841550696
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1456617600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1579824000000",
"number": "1609236066",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "625 CLEVELAND AVE NW",
"city": "CANTON",
"state": "OH",
"postal_code": "447021805",
"telephone_number": "330-455-0374",
"fax_number": "330-453-6716"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 E STATE ST FL 3",
"city": "ALLIANCE",
"state": "OH",
"postal_code": "446014936",
"telephone_number": "330-821-8503",
"fax_number": "330-627-0088"
}
],
"practiceLocations": [
{
"address_1": "1296 Fairlawn St",
"address_purpose": "LOCATION",
"city": "Louisville",
"state": "OH",
"postal_code": "446412402",
"country_code": "US",
"telephone_number": "330-309-4134",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CAMPBELL",
"first_name": "BETH",
"middle_name": "MARIA",
"credential": "LPN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-02-28",
"last_updated": "2020-01-24",
"certification_date": "2020-01-24",
"status": "A"
},
"taxonomies": [
{
"code": "3747A0650X",
"taxonomy_group": "",
"desc": "Technician, Attendant Care Provider",
"state": null,
"license": "PN131574",
"primary": false
},
{
"code": "164W00000X",
"taxonomy_group": "",
"desc": "Licensed Practical Nurse",
"state": "OH",
"license": "LPN131574MEDS-IV",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Alliance, OH
- Catherine L. Buswell, APRN.CNP
- Jennifer Butcher
- C & S Professional Management, LLC
- Salvatore Calabretta, R.PH.
- Shaleka Mercedes Cameron, STNA
- Cynthia Ann Campbell, NP-C
- Dylon Kenneth Campbell
- Grant Augustine Campbell, DPT
- Matthew Charles Campbell, RPH
- Canterbury Villa Operations Corp (Canterbury Villa of Alliance)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.