Naomi Jean Campbell

Primary specialty

Home Health AideTaxonomy code 374U00000X

Practice address

8217 W 30 1/2 St Apt 1
Saint Louis Park, MN 55426-3503

Phone

(612) 964-0846

NPI assigned

Nov 15, 2017

Sex

Female

Sole proprietor

Yes

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": "1510704000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1720591563",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8217 W 30 1/2 ST APT 1",
            "city": "SAINT LOUIS PARK",
            "state": "MN",
            "postal_code": "554263503",
            "telephone_number": "612-964-0846"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8217 W 30 1/2 ST APT 1",
            "city": "SAINT LOUIS PARK",
            "state": "MN",
            "postal_code": "554263503",
            "telephone_number": "612-964-0846"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4242 Zane Ave N",
            "address_purpose": "LOCATION",
            "city": "Crystal",
            "state": "MN",
            "postal_code": "554221651",
            "country_code": "US",
            "telephone_number": "952-963-2404",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CAMPBELL",
        "first_name": "NAOMI",
        "middle_name": "JEAN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-11-15",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "374U00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Home Health Aide",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Matthew Jess Caldwell, DC
• Amanda J Calvin, MD
• Ian-Thomas Campbell-Groen, DPT
• Carol J Campbell, CRNA
• Karen Louise Campbell, PHD
• Lois E Cannon, CNM
• Bruce E. Cantor, M.D.
• J Niva Capecchi-Nguyen, MSW, LICSW
• Cacy Capel-Miranda, PHD, LP
• Katharine Marie Cappola, OTR

• Home Health Aide in Saint Louis Park, MN
• Providers in Saint Louis Park, MN by specialty
• Home Health Aide in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.