Individual provider Active NPI

Brittany Campbell, CD,CLC, TM

  • Midwife
  • Ferguson, MO
National Provider Identifier
1952887689
Registry record updated Aug 12, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
MidwifeTaxonomy code 176B00000X
Practice address
8 Church St
Ferguson, MO 63135-2409
Phone
(314) 643-7703
Fax
(314) 736-5550
NPI assigned
Jul 16, 2018
Last updated
Aug 12, 2019By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 12, 2019

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Midwife 176B00000X NU Primary
Lactation Consultant (Non-RN) 174N00000X MO
Doula 374J00000X MO

Addresses

Primary practice location

8 Church St
Ferguson, MO 63135-2409

Mailing address

100 N Dade Ave
Ferguson, MO 63135-1824
Phone (314) 536-1604

Other practice location 1

100 N Dade Ave
Ferguson, MO 63135-1824
Phone (314) 536-1604

Other identifiers 1

IdentifierTypeStateIssuer
1120OtherDOB

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

Practice roles

OrganizationSpecialtyStatusNew patients
Jamaa Birth Village Lactation Consultant, Non-RN Current Accepting new patients

Locations

8 Church St
Ferguson, MO 63135
Phone (314) 643-7703

Organizations & group practices 1

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": "1531699200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1565568000000",
    "number": "1952887689",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 N DADE AVE",
            "city": "FERGUSON",
            "state": "MO",
            "postal_code": "631351824",
            "telephone_number": "314-536-1604"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8 CHURCH ST",
            "city": "FERGUSON",
            "state": "MO",
            "postal_code": "631352409",
            "telephone_number": "314-643-7703",
            "fax_number": "314-736-5550"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "100 N Dade Ave",
            "address_purpose": "LOCATION",
            "city": "Ferguson",
            "state": "MO",
            "postal_code": "631351824",
            "country_code": "US",
            "telephone_number": "314-536-1604",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CAMPBELL",
        "first_name": "BRITTANY",
        "credential": "CD,CLC, TM",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-07-16",
        "last_updated": "2019-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "176B00000X",
            "taxonomy_group": "",
            "desc": "Midwife",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "174N00000X",
            "taxonomy_group": "",
            "desc": "Lactation Consultant, Non-RN",
            "state": "MO",
            "license": null,
            "primary": false
        },
        {
            "code": "374J00000X",
            "taxonomy_group": "",
            "desc": "Doula",
            "state": "MO",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DOB",
            "identifier": "1120",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ferguson, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2019; 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.