Active NPI
Adam C Campbell Jr., CRT
- Pulmonary Rehabilitation Certified Respiratory Therapist
- Gretna, LA
National Provider Identifier
1972132454
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pulmonary Rehabilitation Certified Respiratory Therapist
- License
- CRT.LT3485
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pulmonary Rehabilitation Certified Respiratory Therapist | 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
| License | State | Type | Specialty |
|---|---|---|---|
| CRT.LT3485 | LA | MD | Pulmonary 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.