Shannon D Campbell, ATC/L

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

AT-067 Issued in ID

Practice address

1114 9TH Ave
Lewiston, ID 83501-2659

Phone

(208) 748-3102

NPI assigned

Mar 22, 2006

Sex

Male

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": "1142985600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1801855440",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "330 N GRANT ST",
            "city": "MOSCOW",
            "state": "ID",
            "postal_code": "838433674",
            "telephone_number": "208-882-3239"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1114 9TH AVE",
            "city": "LEWISTON",
            "state": "ID",
            "postal_code": "835012659",
            "telephone_number": "208-748-3102"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAMPBELL",
        "first_name": "SHANNON",
        "middle_name": "D",
        "name_prefix": "Mr.",
        "credential": "ATC/L",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-22",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "ID",
            "license": "AT-067",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kathryn K Calkins, PMHNP
• Roger Jeffrey Call, PHARMD
• Camas Service Coordination, Inc.
• Brittany Campbell
• Kimberly Jordan Campbell, M.D.
• Lillian Francine Caradine, MA,LPC
• Natale Carasali, MD
• Haley Cardenas, LMSW
• Care Center (Lewiston) Inc.
• Care Connection Home Care

• All providers in Lewiston, ID
• Athletic Trainer in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.