Dora Lee Campbell

Primary specialty

Case Manager/Care CoordinatorTaxonomy code 171M00000X

License

163630 Issued in OH

Practice address

303 Gervais Rd
Franklin Furnace, OH 45629-8742

Phone

(740) 259-7002

NPI assigned

Feb 12, 2018

Last updated

Feb 12, 2018By 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 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Interoperability endpoints

• FHIR API: https://api.qualifacts.org/api/fhir/focusresidential/r4/

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.

• Focus Residential Group, LLC

  • Community/Behavioral Health Agency
  • Franklin Furnace, OH
  • NPI 1225629660
  NPD (past)

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

{
    "created_epoch": "1518393600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1518393600000",
    "number": "1891295234",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "303 GERVAIS RD",
            "city": "FRANKLIN FURNACE",
            "state": "OH",
            "postal_code": "456298742",
            "telephone_number": "740-259-7002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "303 GERVAIS RD",
            "city": "FRANKLIN FURNACE",
            "state": "OH",
            "postal_code": "456298742",
            "telephone_number": "740-259-7002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAMPBELL",
        "first_name": "DORA",
        "middle_name": "LEE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-02-12",
        "last_updated": "2018-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "OH",
            "license": "163630",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Allison I Bittinger, CDCA
• Ryan Boggs
• Hannah Branham
• Tricia Burchett
• Steven H Caldwell
• Stephanie L Campbell
• Jennifer Cantrell, CDCA
• Dustin Caseman
• Paula Coburn, LSW
• Rachel Comer

• Case Manager/Care Coordinator in Franklin Furnace, OH
• Providers in Franklin Furnace, OH by specialty
• Case Manager/Care Coordinator in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2018; 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.