Angela Sue Campbell, R.N – Registered Nurse

Key facts

NPI: 1922447440
Entity type: Individual (NPI type 1)
Primary specialty: Registered Nurse 163W00000X
License: 380277 (OH)
Practice address: 86 Corwin St
Norwalk, OH 44857-2243
Phone: (419) 706-7448
NPI assigned: Jun 18, 2013
Sex: Female
Sole proprietor: Yes

Medicare participation

Medicare fee-for-service enrollment: Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD): No
Credentials: Registered Nurse

State licenses

License	State	Type	Specialty
380277	OH	MD	Registered Nurse

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Registered Nurse	163W00000X	380277	OH	Yes

Addresses

Primary practice location

86 Corwin St
Norwalk, OH 44857-2243

Mailing address

86 Corwin St
Norwalk, OH 44857-2243

Other practice location 1

33 Grant St
New London, OH 44851-1006
Phone (419) 706-7448

Other identifiers

Identifier	Type	State	Issuer
1922447440	Medicaid	OH

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Mar 17, 2018.

{
    "created_epoch": "1371513600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1922447440",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "86 CORWIN ST",
            "city": "NORWALK",
            "state": "OH",
            "postal_code": "448572243"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "86 CORWIN ST",
            "city": "NORWALK",
            "state": "OH",
            "postal_code": "448572243",
            "telephone_number": "419-706-7448"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "33 Grant St",
            "address_purpose": "LOCATION",
            "city": "New London",
            "state": "OH",
            "postal_code": "448511006",
            "country_code": "US",
            "telephone_number": "419-706-7448",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CAMPBELL",
        "first_name": "ANGELA",
        "middle_name": "SUE",
        "credential": "R.N",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-06-18",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "OH",
            "license": "380277",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1922447440",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Norwalk, OH

All providers in Norwalk, OH · Registered Nurse in Ohio

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 17, 2018. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.