Vicki June Camilla, OTRL

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

R2519 Issued in KY

Practice address

25 S Boehne Camp Rd
Evansville, IN 47712-3101

Phone

(812) 423-7468

NPI assigned

Jul 2, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1183334400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1013114081",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5921 ROBARDS POOLE RD",
            "city": "HENDERSON",
            "state": "KY",
            "postal_code": "424209698",
            "telephone_number": "270-521-7626"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 S BOEHNE CAMP RD",
            "city": "EVANSVILLE",
            "state": "IN",
            "postal_code": "477123101",
            "telephone_number": "812-423-7468"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAMILLA",
        "first_name": "VICKI",
        "middle_name": "JUNE",
        "name_prefix": "Ms.",
        "credential": "OTRL",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-07-02",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "KY",
            "license": "R2519",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "155238",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Antoinette Caldwell, M.D.
• California Emergency Physicians Medical Group, a Professional Corporat
• Sam Callahan, DPT
• Shannon Elizabeth Callahan
• Calmplex Counseling LLC
• Donna Jo Camp, R.D., C.D.
• Bruce David Campagna
• Blaine Christine Campbell, DO
• Dana Nicole Campbell
• James Clark Campbell, MD

• Occupational Therapist in Evansville, IN
• Providers in Evansville, IN by specialty
• Occupational Therapist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.