Adam Lee Campbell, ATC, LAT

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

RT007397 Issued in PA

Practice address

102 E Area Locker Room BLDG
University Park, PA 16802-1218

Phone

(814) 421-9065

NPI assigned

Sep 2, 2020

Last updated

Sep 2, 2020By the provider in NPPES

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Adam Lee Campbell Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1599004800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1599004800000",
    "number": "1740894161",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 398",
            "city": "ARMAGH",
            "state": "PA",
            "postal_code": "159200398",
            "telephone_number": "814-421-9065"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102 E AREA LOCKER ROOM BLDG",
            "city": "UNIVERSITY PARK",
            "state": "PA",
            "postal_code": "168021218",
            "telephone_number": "814-421-9065"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAMPBELL",
        "first_name": "ADAM",
        "middle_name": "LEE",
        "credential": "ATC, LAT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-09-02",
        "last_updated": "2020-09-02",
        "certification_date": "2020-09-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "PA",
            "license": "RT007397",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ADAM",
            "last_name": "CAMPBELL",
            "middle_name": "LEE",
            "credential": "ATC, LAT",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Marissa Megan Burd
• Gina Burge, RN
• Amanda Jordan Byrd, MS, CCC-SLP
• Madison Byrne
• Sara Caldwell
• Scott Campbell
• Elizabeth J Cardinale, MD
• Sheila Cartwright, RN
• Louis Georges Castonguay
• Nicole Chadwick

• Athletic Trainer in University Park, PA
• Providers in University Park, PA by specialty
• Athletic Trainer in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 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.

Verify at the official NPI Registry.