Niccole Read Campbell, PA-C

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

Practice address

18322 Sonterra PL Ste 107
San Antonio, TX 78258-4196

Phone

(210) 495-5771

Fax

(210) 966-9106

NPI assigned

Jun 6, 2013

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

Enrolled in TX

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

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.

• Advanced Aesthetics of Texas, PLLC

  dba Advanced Aesthetics Lopez Plastic Surgery

  • Specialist
  • San Antonio, TX
  • NPI 1326408329
  Medicare reassignment
• Manuel a. Lopez, MD, Inc

  • Facial Plastic Surgery Physician
  • San Antonio, TX
  • NPI 1366628745
  NPD (past)

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

{
    "created_epoch": "1370476800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1667260800000",
    "number": "1700224292",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "123 MIRROR LK",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782604351",
            "telephone_number": "210-488-1961"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18322 SONTERRA PL STE 107",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782584196",
            "telephone_number": "210-495-5771",
            "fax_number": "210-966-9106"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAMPBELL",
        "first_name": "NICCOLE",
        "middle_name": "READ",
        "name_prefix": "Mrs.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-06-06",
        "last_updated": "2022-11-01",
        "certification_date": "2022-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "TX",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kyle Jay Campbell, DC
• Lakesia Shunta' Campbell, IDMT
• Lindsey Campbell, MA, CCC-SLP
• Misty Campbell, DPT
• Nadira Campbell, LMT
• Noor Elqadi Campbell
• Rachel Marie Campbell, DPT
• Rebecca Campbell
• Richard G Campbell, MD
• Robyn Campbell, PHD

• Medical Physician Assistant in San Antonio, TX
• Providers in San Antonio, TX by specialty
• Medical Physician Assistant in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.