Edward J Campbell Jr.

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

L19122 Issued in NM

Practice address

5901 Zuni Rd SE
Albuquerque, NM 87108-3073

Phone

(505) 841-8978

NPI assigned

Jan 27, 2009

Last updated

Jan 27, 2009By the provider in NPPES

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

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": "1233014400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1233014400000",
    "number": "1821236001",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5901 ZUNI RD SE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871083073",
            "telephone_number": "505-841-8978"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5901 ZUNI RD SE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871083073",
            "telephone_number": "505-841-8978"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAMPBELL",
        "first_name": "EDWARD",
        "middle_name": "J",
        "name_prefix": "Mr.",
        "name_suffix": "Jr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-01-27",
        "last_updated": "2009-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "NM",
            "license": "L19122",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NEW MEXICO BOARD OF NURSING",
            "identifier": "L19122",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Aaron Campbell, P.T.
• Alison Campbell, M.D.
• Alyssa Danielle Campbell
• Catherine Campbell
• Cydney Diane Campbell, MA, LMHC, NCC
• Gabrielle Campbell
• Jaime Clare Campbell
• Jakob William Campbell
• Jessica R Campbell, FNP-C
• Karen Marie Campbell

• Licensed Practical Nurse in Albuquerque, NM
• Providers in Albuquerque, NM by specialty
• Licensed Practical Nurse in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2009; 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.