Andrew Steven Campbell, LMT

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

3113 Issued in ID

Practice address

1625 N 4TH St Ste 203
Coeur D Alene, ID 83814-6178

Phone

(208) 765-1075

NPI assigned

Nov 26, 2018

Last updated

Nov 26, 2018By the provider in NPPES

Sex

Male

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

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.

• Coeur D Alene Massage School LLC

  • Massage Therapist
  • Coeur d'Alene, ID
  • NPI 1336617372
  NPD (past)

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

{
    "created_epoch": "1543190400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1543190400000",
    "number": "1962971697",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1264",
            "city": "HAYDEN",
            "state": "ID",
            "postal_code": "838351264",
            "telephone_number": "208-818-0245"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1625 N 4TH ST STE 203",
            "city": "COEUR D ALENE",
            "state": "ID",
            "postal_code": "838146178",
            "telephone_number": "208-765-1075"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAMPBELL",
        "first_name": "ANDREW",
        "middle_name": "STEVEN",
        "name_prefix": "Mr.",
        "credential": "LMT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-11-26",
        "last_updated": "2018-11-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "ID",
            "license": "3113",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sydney Call, MA
• Jacklyn Callihan, DC
• Calvary Caregiving LLC
• Cameron Hart DDS PLLC (Pine & Peaks Dental)
• Brooke Cameron
• Barbara Campbell, RPH
• David Michael Campbell, DSOM, LAC
• Katrina Ann Campbell
• Samantha Campbell, ARNP
• Canfield Family Medical Group LLC (Canfield Family Medicine)

• Massage Therapist in Coeur d'Alene, ID
• Providers in Coeur d'Alene, ID by specialty
• Massage Therapist in Idaho

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