Alicia Jean Campbell, PA-C

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

OA003455 Issued in PA

Practice address

105 Mead Ave
Suite C
Meadville, PA 16335-3531

Phone

(814) 337-1144

Fax

(814) 337-0941

NPI assigned

Jul 31, 2012

Last updated

Jan 27, 2015By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

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

{
    "created_epoch": "1343692800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1422316800000",
    "number": "1811243470",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 MEAD AVE",
            "address_2": "SUITE C",
            "city": "MEADVILLE",
            "state": "PA",
            "postal_code": "163353531",
            "telephone_number": "814-337-1144",
            "fax_number": "814-337-0941"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 MEAD AVE",
            "address_2": "SUITE C",
            "city": "MEADVILLE",
            "state": "PA",
            "postal_code": "163353531",
            "telephone_number": "814-337-1144",
            "fax_number": "814-337-0941"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAMPBELL",
        "first_name": "ALICIA",
        "middle_name": "JEAN",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-07-31",
        "last_updated": "2015-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "MD",
            "license": "C0004797",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "PA",
            "license": "OA003455",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brandon Butters, OD
• Ellen Mary Cabe, MD
• Lucy Cacchione
• Kristin Cady, LPN, NBC-HWC
• Mela Louise Calomino, MSW,LSW
• Gretchen Cann
• Meighan Canter
• Teresa Angeline Capristo, DDS
• Stephen Carfangia, PHARMD
• Hobart John Carr, DO

• Medical Physician Assistant in Meadville, PA
• Providers in Meadville, PA by specialty
• Medical Physician Assistant in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2015; 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.