Josie Campbell, D.O.

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

603-462-445 Issued in WA

Practice address

506 S Jackson St
Ritzville, WA 99169-2106

Phone

(509) 659-1600

Fax

(509) 659-1317

NPI assigned

Sep 10, 2015

Last updated

Sep 10, 2015By the provider in NPPES

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 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Osteopathy

State licenses

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

{
    "created_epoch": "1441843200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1441843200000",
    "number": "1033587845",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "506 S JACKSON ST",
            "city": "RITZVILLE",
            "state": "WA",
            "postal_code": "991692106",
            "telephone_number": "509-659-1600",
            "fax_number": "509-659-1317"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "506 S JACKSON ST",
            "city": "RITZVILLE",
            "state": "WA",
            "postal_code": "991692106",
            "telephone_number": "509-659-1600",
            "fax_number": "509-659-1317"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAMPBELL",
        "first_name": "JOSIE",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-09-10",
        "last_updated": "2015-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "WA",
            "license": "603-462-445",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "50-5282",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2044700",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX ID",
            "identifier": "47-2632481",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Trent Colin Blackwill, CRNA, DNAP
• Lisa Ann Bliss, COTA/L
• Marnie Boyer, PA
• Mick Allen Brown, FNP
• Karen Lynne Cady, MASSAGE THERAPIST
• James Deaton, P.T.
• Sam Gillard Duncan, RPH
• East Adams Care Center LLC
• East Adams Rural Hospital
• East Adams Rural Hospital Lab Facility

• Skilled Nursing Facility in Ritzville, WA
• Providers in Ritzville, WA by specialty
• Skilled Nursing Facility in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2015; 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.