Active NPI
Carla Campbell, NP-C
- Family Nurse Practitioner
- Butte, MT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 12940
- Practice address
- 55 E Galena St
Butte, MT 59701-1703 - Phone
- (406) 723-4075
- Fax
- (406) 723-5060
- NPI assigned
- Jan 12, 2012
- Last updated
- Dec 20, 2018
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 12940 | MT | Primary |
Addresses
Primary practice location
55 E Galena St
Butte, MT 59701-1703
Mailing address
445 Centennial Ave
Butte, MT 59701-2870
Phone (406) 723-4075
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MT
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20120404000751 | MT | Practitioner - Nurse Practitioner | 7315107083 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 12940 | MT | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Livingston Healthcare | Current | Accepting new patients | |
| Livingston Healthcare | Current | Accepting new patients | |
| Livingston Healthcare | Current | Accepting new patients |
Locations
104 Centennial Dr
Livingston, MT 59047
Phone (406) 222-0030
104 Centennial Dr
Ste 103
Livingston, MT 59047
Phone (406) 222-0030
320 Alpenglow Ln
Livingston, MT 59047
Phone (406) 222-3541
Organizations & group practices 3
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.
-
dba Livingston HealthCare Gardiner
- Rehabilitation Clinic/Center
- Gardiner, MT
- NPI 1225670375
-
- Critical Access Hospital
- Livingston, MT
- NPI 1245222306
-
dba Livingston HeatlhCare Ranger Clinic
- Clinic/Center
- Livingston, MT
- NPI 1467006049
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1326326400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1545264000000",
"number": "1003186677",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "445 CENTENNIAL AVE",
"city": "BUTTE",
"state": "MT",
"postal_code": "597012870",
"telephone_number": "406-723-4075",
"fax_number": "406-723-5060"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "55 E GALENA ST",
"city": "BUTTE",
"state": "MT",
"postal_code": "597011703",
"telephone_number": "406-723-4075",
"fax_number": "406-723-5060"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CAMPBELL",
"first_name": "CARLA",
"credential": "NP-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-01-12",
"last_updated": "2018-12-20",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "MT",
"license": "12940",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Butte, MT
- Butte Spirit Center
- Butte Ventures, LLC (Marquis Companies, Butte / Vintage Suites at Butte)
- Butte-Silver Bow Consolidated Governments
- Butte-Silver Bow Consolidated Governments (Butte-Silver Bow Health Department)
- Jordan Cade, P.A.
- Lorrie Corette Campbell, LCPC
- Charles Raymond Canty, M.D.
- Capitol City HHC
- Tonya M Carpenter
- Benjamin Carr, LCPC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.