NPI age
20 years
Enumerated 2006-03-22
● Active
Type 1 · Individual
MR. Shannon D Campbell, ATC/L
Campbell is 1 of 9 specialist/technologist providers in Lewiston and 1 of 326 in Idaho.
Primary specialty
Specialist/Technologist
Licensed in
ID
1 state
Status
Active
No deactivations on record
Last NPPES update
2007-07-08
Source: monthly bulk 2026-05
Sole proprietor
Not specified
May be part of a larger org
How this provider compares
Across 326 active specialist/technologist providers in Idaho.
NPI age
20 years
↑ 12 yr above median (8 yr)
State licenses
1 state
4% of peers hold multiple states
Subspecialties
0
10% of peers hold subspecialties
NPI lifetime · 2006 → 2026
2006-03Enumerated in NPPES
2006
2026
Where they practice
Practice location
1114 9th Ave
Lewiston, ID 835012659
Mailing address
330 N Grant St
Moscow, ID 838433674
Specialties
-
Specialist/Technologist PrimaryAthletic trainers are allied health care professionals who work in consultation with or under the direction of physicians, and specialize in the prevention, assessment, treatment and rehabilitation of injuries and illnesses. Currently,...
Practice context
Part of a multi-provider practice. 1 other active provider shares this practice address in NPPES.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Check the state license is currently active.State licensing boards publish current status; NPPES does not.
- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.