Active NPI
I Cameron Enterprises LLC
- Obstetrics & Gynecology Nurse Practitioner
- Pasco, WA
National Provider Identifier
1023624681
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Nurse Practitioner
- Legal business name
- I CAMERON ENTERPRISES LLC
- Practice address
- 5908 Bedford St
Pasco, WA 99301-6605 - Phone
- (509) 547-4721
- NPI assigned
- Sep 18, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ivy Cameron, RN
- Title
- Owner
- Phone
- (509) 430-5885
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse First Assistant | 163WR0006X | |||
| Obstetrics & Gynecology Nurse Practitioner | 363LX0001X | Primary |
Addresses
Primary practice location
5908 Bedford St
Pasco, WA 99301-6605
Mailing address
4804 Mariola LN
Pasco, WA 99301-8374
Phone (509) 430-5885
Other practice location 1
4808 Mariola Ln
Pasco, WA 99301-8374
Phone (509) 430-5885
Other practice location 2
3810 Plaza Way
Kennewick, WA 99338-2722
Phone (509) 221-7000
Other practice location 3
520 N 4th Ave
Pasco, WA 99301-5257
Phone (509) 547-7704
Other practice location 4
888 Swift Blvd
Richland, WA 99352-3514
Phone (509) 946-4611
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1600387200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1600905600000",
"number": "1023624681",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4804 MARIOLA LN",
"city": "PASCO",
"state": "WA",
"postal_code": "993018374",
"telephone_number": "509-430-5885"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5908 BEDFORD ST",
"city": "PASCO",
"state": "WA",
"postal_code": "993016605",
"telephone_number": "509-547-4721"
}
],
"practiceLocations": [
{
"address_1": "4808 Mariola Ln",
"address_purpose": "LOCATION",
"city": "Pasco",
"state": "WA",
"postal_code": "993018374",
"country_code": "US",
"telephone_number": "509-430-5885",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "3810 Plaza Way",
"address_purpose": "LOCATION",
"city": "Kennewick",
"state": "WA",
"postal_code": "993382722",
"country_code": "US",
"telephone_number": "509-221-7000",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "520 N 4th Ave",
"address_purpose": "LOCATION",
"city": "Pasco",
"state": "WA",
"postal_code": "993015257",
"country_code": "US",
"telephone_number": "509-547-7704",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "888 Swift Blvd",
"address_purpose": "LOCATION",
"city": "Richland",
"state": "WA",
"postal_code": "993523514",
"country_code": "US",
"telephone_number": "509-946-4611",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "I CAMERON ENTERPRISES LLC",
"organizational_subpart": "NO",
"enumeration_date": "2020-09-18",
"last_updated": "2020-09-24",
"certification_date": "2020-09-24",
"status": "A",
"authorized_official_last_name": "CAMERON",
"authorized_official_first_name": "IVY",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "509-430-5885",
"authorized_official_credential": "RN"
},
"taxonomies": [
{
"code": "163WR0006X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Registered Nurse, Registered Nurse First Assistant",
"state": null,
"license": null,
"primary": false
},
{
"code": "363LX0001X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Nurse Practitioner, Obstetrics & Gynecology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Pasco, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 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.