Individual provider Active NPI

Adam C Campbell Jr., CRT

  • Pulmonary Rehabilitation Certified Respiratory Therapist
  • Gretna, LA
National Provider Identifier
1972132454
Registry record updated Apr 6, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Rehabilitation Certified Respiratory TherapistTaxonomy code 2278P1005X
License
CRT.LT3485 Issued in LA
Practice address
401 Whitney Ave Ste 128D
Gretna, LA 70056-2500
Phone
(504) 473-8158
Fax
(504) 509-7883
NPI assigned
Apr 6, 2020
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 6, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pulmonary Rehabilitation Certified Respiratory TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 2278P1005X CRT.LT3485 LA Primary

Addresses

Primary practice location

401 Whitney Ave Ste 128D
Gretna, LA 70056-2500

Mailing address

401 Whitney Ave Ste 128D
Gretna, LA 70056-2500
Phone (504) 473-8158

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
CRT.LT3485LAMDPulmonary Rehabilitation Certified Respiratory Therapist

NPI Registry JSON

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

{
    "created_epoch": "1586131200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1586131200000",
    "number": "1972132454",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 WHITNEY AVE STE 128D",
            "city": "GRETNA",
            "state": "LA",
            "postal_code": "700562500",
            "telephone_number": "504-473-8158"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 WHITNEY AVE STE 128D",
            "city": "GRETNA",
            "state": "LA",
            "postal_code": "700562500",
            "telephone_number": "504-473-8158",
            "fax_number": "504-509-7883"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAMPBELL",
        "first_name": "ADAM",
        "middle_name": "C",
        "name_prefix": "Mr.",
        "name_suffix": "Jr.",
        "credential": "CRT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-04-06",
        "last_updated": "2020-04-06",
        "certification_date": "2020-04-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2278P1005X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Respiratory Therapist, Certified, Pulmonary Rehabilitation",
            "state": "LA",
            "license": "CRT.LT3485",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gretna, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2020; 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.