Laura Ivy Campbell, LAT, ATC

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

RTO000383 Issued in PA

Practice address

16 Woodbine LN
Danville, PA 17821-8029

Phone

(570) 271-6700

NPI assigned

May 31, 2018

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 identifiers 1

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": "1527724800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1527724800000",
    "number": "1790277234",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "290 NURSERY RD",
            "city": "BERWICK",
            "state": "PA",
            "postal_code": "186035128",
            "telephone_number": "570-394-8907"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16 WOODBINE LN",
            "city": "DANVILLE",
            "state": "PA",
            "postal_code": "178218029",
            "telephone_number": "570-271-6700"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "600 Green Acres Rd",
            "address_purpose": "LOCATION",
            "city": "Benton",
            "state": "PA",
            "postal_code": "178147603",
            "country_code": "US",
            "telephone_number": "570-925-6651",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CAMPBELL",
        "first_name": "LAURA",
        "middle_name": "IVY",
        "credential": "LAT, ATC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-05-31",
        "last_updated": "2018-05-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "PA",
            "license": "RTO000383",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RESPIRATORY, REHABILITATIVE & RESTORATIVE SERVICE",
            "identifier": "22",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Patrick Joseph Callaghan, MD
• Tia M Callahan
• Barbara A. Campagna, CRNP
• Casey Campbell, MS, RD, CDN
• Laura Campbell, PHD
• Timothy B. Campbell, CRNP
• Bohao Cao, M.D.
• Alex Joseph Caplan, DO
• Carolyn Caplan
• Michael Caputo, PA-C

• Athletic Trainer in Danville, PA
• Providers in Danville, PA by specialty
• Athletic Trainer in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 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.