Active NPI
Jennifer H Campbell, LMP
- Massage Therapist
- Anacortes, WA
National Provider Identifier
1801028832
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- MA60082933
- Practice address
- 3218 R Ave
Anacortes, WA 98221-3449 - Phone
- (360) 770-3065
- NPI assigned
- Aug 8, 2009
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist | 225700000X | MA60082933 | WA | Primary |
Addresses
Primary practice location
3218 R Ave
Anacortes, WA 98221-3449
Mailing address
PO Box 151
Acme, WA 98220-0151
Phone (360) 770-3065
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MA60082933 | WA | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1249689600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1336089600000",
"number": "1801028832",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 151",
"city": "ACME",
"state": "WA",
"postal_code": "982200151",
"telephone_number": "360-770-3065"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3218 R AVE",
"city": "ANACORTES",
"state": "WA",
"postal_code": "982213449",
"telephone_number": "360-770-3065"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CAMPBELL",
"first_name": "JENNIFER",
"middle_name": "H",
"credential": "LMP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-08-08",
"last_updated": "2012-05-04",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "WA",
"license": "MA60082933",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Anacortes, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.