Jamie Lyn Campbell, MAS, ATC, LAT

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

2013001641 Issued in MO

Practice address

2525 Glenn Hendren Dr
Liberty, MO 64068-9600

Phone

(816) 352-8547

NPI assigned

Nov 8, 2013

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 names 1

• Jamie Lyn Jackson Former name

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": "1383868800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1646870400000",
    "number": "1841629904",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11021 N OXFORD AVE",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641575840",
            "telephone_number": "816-352-8547"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2525 GLENN HENDREN DR",
            "city": "LIBERTY",
            "state": "MO",
            "postal_code": "640689600",
            "telephone_number": "816-352-8547"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAMPBELL",
        "first_name": "JAMIE",
        "middle_name": "LYN",
        "credential": "MAS, ATC, LAT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-11-08",
        "last_updated": "2022-03-10",
        "certification_date": "2022-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "MO",
            "license": "2013001641",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JAMIE",
            "last_name": "JACKSON",
            "middle_name": "LYN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Crystal Calderon
• Kylee Caldwell
• Michelle Callahan, LSCSW, LCSW
• Melissa Virginia Calvin, LCSW
• Christina Campbell
• Megan Elizabeth Campbell, DNP
• Pamela Gayle Canfield, M.A., CCC-SLP
• Nancy Jackson Cann
• Brady Cannon
• Nicholas Carafelly

• Athletic Trainer in Liberty, MO
• Providers in Liberty, MO by specialty
• Athletic Trainer in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2022; 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.