Individual provider Active NPI

Camille A O Hamilton, PHD MPH AGPCNP-BC RN

  • Adult Health Nurse Practitioner
  • Allentown, PA
National Provider Identifier
1013640580
Registry record updated Nov 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
SP026189 Issued in PA
Practice address
400 N 17TH St Ste 300
Allentown, PA 18104-5052
Phone
(610) 969-3500
NPI assigned
Jul 2, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 1, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse PractitionerGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 363LA2200X F310757-01 NY
Adult Health Nurse Practitioner 363LA2200X SP026189 PA Primary

Addresses

Primary practice location

400 N 17TH St Ste 300
Allentown, PA 18104-5052

Mailing address

2100 Mack Blvd FL 4
Allentown, PA 18103-5622
Phone (484) 224-1892

Other practice location 1

2316 S Wood St
Allentown, PA 18103-5300
Phone (718) 962-5261

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241105001168 PA Practitioner - Nurse Practitioner 7012441603 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner, Doctor of Philosophy, Registered Nurse

State licenses

LicenseStateTypeSpecialty
F310757-01NYMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Valley Health Partners Community Health Center Single Specialty Current Accepting new patients
Pulmonary Associates PC Single Specialty Past Accepting new patients

Locations

1627 Chew St
Fl 1
Allentown, PA 18102
Phone (610) 969-2800

400 N 17th St
Ste 300
Allentown, PA 18104
Phone (610) 969-3100

Interoperability endpoints

  • Direct secure messaging: chamilton1157003@direct2.lvhn.org

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1656720000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730419200000",
    "number": "1013640580",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2100 MACK BLVD FL 4",
            "city": "ALLENTOWN",
            "state": "PA",
            "postal_code": "181035622",
            "telephone_number": "484-224-1892"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 N 17TH ST STE 300",
            "city": "ALLENTOWN",
            "state": "PA",
            "postal_code": "181045052",
            "telephone_number": "610-969-3500"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2316 S Wood St",
            "address_purpose": "LOCATION",
            "city": "Allentown",
            "state": "PA",
            "postal_code": "181035300",
            "country_code": "US",
            "telephone_number": "718-962-5261",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HAMILTON",
        "first_name": "CAMILLE",
        "middle_name": "A O",
        "name_prefix": "Dr.",
        "credential": "PHD MPH AGPCNP-BC RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-07-02",
        "last_updated": "2024-11-01",
        "certification_date": "2024-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NY",
            "license": "F310757-01",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "PA",
            "license": "SP026189",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Allentown, PA

Sources for this page

Verify at the official NPI Registry.