Ellen Olivia Campbell, CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

18440 Issued in CA

Practice address

68 McCoppin St Apt 12
San Francisco, CA 94103-1277

Phone

(415) 606-8594

NPI assigned

Jun 18, 2011

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

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": "1308355200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1308355200000",
    "number": "1750676631",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "68 MCCOPPIN ST APT 12",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941031277",
            "telephone_number": "415-606-8594"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "68 MCCOPPIN ST APT 12",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941031277",
            "telephone_number": "415-606-8594"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAMPBELL",
        "first_name": "ELLEN",
        "middle_name": "OLIVIA",
        "name_prefix": "Ms.",
        "credential": "CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-06-18",
        "last_updated": "2011-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "CA",
            "license": "18440",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alma Campbell
• Andre Renay Campbell, MD
• Barbara Lupe Campbell, PH.D.
• Caren Campbell, MD
• Edward Lawrence Campbell, NP
• Emily J. Campbell, PHD
• Gregg Scott Campbell, MD
• Jaymie Campbell
• Kelly Jean Wysong Campbell, M.S., CCC-SLP
• Kenneth Edward Campbell

• Speech-Language Pathologist in San Francisco, CA
• Providers in San Francisco, CA by specialty
• Speech-Language Pathologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2011; 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.