Emily Campbell, B.S. ATC, LAT

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

AT7458 Issued in TX

Practice address

1301 N Dotsy Ave
Odessa, TX 79763-3597

Phone

(432) 456-0203

Fax

(432) 456-0207

NPI assigned

Mar 19, 2019

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

Other names 1

• Mrs. Emily Martin Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Bachelor of Science

State licenses

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

{
    "created_epoch": "1552953600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1552953600000",
    "number": "1720547730",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3727 ANDREWS HWY APT 2801",
            "city": "ODESSA",
            "state": "TX",
            "postal_code": "797626316",
            "telephone_number": "432-894-2348"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1301 N DOTSY AVE",
            "city": "ODESSA",
            "state": "TX",
            "postal_code": "797633597",
            "telephone_number": "432-456-0203",
            "fax_number": "432-456-0207"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAMPBELL",
        "first_name": "EMILY",
        "name_prefix": "Mrs.",
        "credential": "B.S. ATC, LAT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-03-19",
        "last_updated": "2019-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "TX",
            "license": "AT7458",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "EMILY",
            "last_name": "MARTIN",
            "prefix": "MRS.",
            "credential": "B.S. ATC, LAT",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• William David Calahan, DDS
• Erik Calzada, PT, ATC
• Karla Yesica Camara, FNP-C
• Gina Marie Campagna, M.D.
• Curtis Sean Campbell, OTA
• Madison Mackenzie Campbell, OT
• Neri Campos-Gardea
• Samuel Canon, OD
• Caprock Home Health Services, Inc.
• Caprock Home Health Services, Inc.

• Athletic Trainer in Odessa, TX
• Providers in Odessa, TX by specialty
• Athletic Trainer in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2019; 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.