Individual provider Active NPI

Kristy Lynn Campbell, IECE

  • Health Educator
  • Jamestown, KY
National Provider Identifier
1962767095
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health EducatorTaxonomy code 174H00000X
Practice address
3942 Highway 1058
Jamestown, KY 42629-6654
Phone
(270) 343-4574
Fax
(270) 343-4574
NPI assigned
Jul 4, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Health Educator 174H00000X Primary
Health Educator 174H00000X KY

Addresses

Primary practice location

3942 Highway 1058
Jamestown, KY 42629-6654

Mailing address

3942 Highway 1058
Jamestown, KY 42629-6654
Phone (270) 343-4574

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

NPI Registry JSON

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

{
    "created_epoch": "1341360000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1962767095",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3942 HIGHWAY 1058",
            "city": "JAMESTOWN",
            "state": "KY",
            "postal_code": "426296654",
            "telephone_number": "270-343-4574",
            "fax_number": "270-343-4574"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3942 HIGHWAY 1058",
            "city": "JAMESTOWN",
            "state": "KY",
            "postal_code": "426296654",
            "telephone_number": "270-343-4574",
            "fax_number": "270-343-4574"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAMPBELL",
        "first_name": "KRISTY",
        "middle_name": "LYNN",
        "name_prefix": "Mrs.",
        "credential": "IECE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-07-04",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174H00000X",
            "taxonomy_group": "",
            "desc": "Health Educator",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "174H00000X",
            "taxonomy_group": "",
            "desc": "Health Educator",
            "state": "KY",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jamestown, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 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.