Annmarie Delrose Wilson-Campbell, LPN

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

39035 Issued in CT

Practice address

55 Fishfry St
Hartford, CT 06120-1203

Phone

(860) 247-8300

Fax

(860) 548-7325

NPI assigned

Nov 9, 2022

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

Electronic endpoints 1

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.

• Community Substance Abuse Centers, Inc.

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  • Hartford, CT
  • NPI 1487637724

  Licensed Practical Nurse

  NPD (past)
• Community Physicians PC

  • Methadone Clinic
  • Portland, ME
  • NPI 1316242209
  NPD (past)

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

{
    "created_epoch": "1667952000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1667952000000",
    "number": "1639887540",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16 WARREN ST",
            "city": "HARTFORD",
            "state": "CT",
            "postal_code": "061202116",
            "telephone_number": "860-728-9384"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "55 FISHFRY ST",
            "city": "HARTFORD",
            "state": "CT",
            "postal_code": "061201203",
            "telephone_number": "860-247-8300",
            "fax_number": "860-548-7325"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "16 Warren St",
            "address_purpose": "LOCATION",
            "city": "Hartford",
            "state": "CT",
            "postal_code": "061202116",
            "country_code": "US",
            "telephone_number": "860-728-9384",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WILSON-CAMPBELL",
        "first_name": "ANNMARIE",
        "middle_name": "DELROSE",
        "name_prefix": "Mrs.",
        "credential": "LPN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-11-09",
        "last_updated": "2022-11-09",
        "certification_date": "2022-11-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "CT",
            "license": "39035",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "awcampbell@hcrcenters.com",
            "affiliation": "N",
            "endpointDescription": "work email address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "55 Fishfry St",
            "city": "Hartford",
            "state": "CT",
            "country_code": "US",
            "postal_code": "061201203",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Tiffany L Williams, MSW
• Valarie L Williams, LPC
• Fionna Williamson, DPM
• Jennifer Williamson, RD, CD-N
• Jonathan Blair Williamson, M.D.
• Alessondra Wilson
• Conor Patrick Wilson, DO
• Dionne I Wilson, RN
• Emmett E Wilson, DDS
• Gary Wilson, MD

• Licensed Practical Nurse in Hartford, CT
• Providers in Hartford, CT by specialty
• Licensed Practical Nurse in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2022; 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.