Individual provider Active NPI

Christi Nicole Campbell, ABA

  • Behavior Analyst
  • Tilton, NH
National Provider Identifier
1851927305
Registry record updated May 26, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Practice address
580 Laconia Rd
Tilton, NH 03276-5321
Phone
(603) 224-7630
Fax
(603) 410-1105
NPI assigned
Mar 17, 2020
Last updated
May 26, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 26, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X NU Primary

Addresses

Primary practice location

580 Laconia Rd
Tilton, NH 03276-5321

Mailing address

57 Regional Dr Ste 7
Concord, NH 03301-8518
Phone (603) 224-7630

Other practice location 1

470 Pine St Ste 1
Manchester, NH 03104-6223
Phone (603) 224-7630 ext. 4

Other practice location 2

57 Regional Dr Ste 7
Concord, NH 03301-8518
Phone (603) 224-7630 ext. 4

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
Credentials
Associate of Business Administration

Practice roles

OrganizationSpecialtyStatusNew patients
Lakes Region ABA Services LLC Behavior Analyst Current Accepting new patients
Spectrum ABA Services of Ny Behavior Analyst Past Accepting new patients
Kevin Gersh Behavior Analyst Past Accepting new patients
Kevin Gersh Past Accepting new patients

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1584403200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1685059200000",
    "number": "1851927305",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "57 REGIONAL DR STE 7",
            "city": "CONCORD",
            "state": "NH",
            "postal_code": "033018518",
            "telephone_number": "603-224-7630",
            "fax_number": "603-410-1105"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "580 LACONIA RD",
            "city": "TILTON",
            "state": "NH",
            "postal_code": "032765321",
            "telephone_number": "603-224-7630",
            "fax_number": "603-410-1105"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "470 Pine St Ste 1",
            "address_purpose": "LOCATION",
            "city": "Manchester",
            "state": "NH",
            "postal_code": "031046223",
            "country_code": "US",
            "telephone_number": "603-224-7630 x4",
            "fax_number": "603-410-1105",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "57 Regional Dr Ste 7",
            "address_purpose": "LOCATION",
            "city": "Concord",
            "state": "NH",
            "postal_code": "033018518",
            "country_code": "US",
            "telephone_number": "603-224-7630 x4",
            "fax_number": "603-410-1105",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CAMPBELL",
        "first_name": "CHRISTI",
        "middle_name": "NICOLE",
        "credential": "ABA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-03-17",
        "last_updated": "2023-05-26",
        "certification_date": "2023-05-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tilton, NH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2023; 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.