Active NPI
Claronda Campbell
- Phlebotomy Technician
- Lewisville, TX
National Provider Identifier
1093437998
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Phlebotomy Technician
- License
- 37376291
- Practice address
- 1301 Justin Rd Ste 201
Lewisville, TX 75077-2183 - Phone
- (972) 836-9442
- NPI assigned
- Sep 16, 2022
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Phlebotomy Technician | 246RP1900X | 37376291 | TX | Primary |
Addresses
Primary practice location
1301 Justin Rd Ste 201
Lewisville, TX 75077-2183
Mailing address
1301 Justin Rd Ste 201
Lewisville, TX 75077-2183
Phone (972) 836-9442
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | LAB | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 37376291 | TX | MD | Phlebotomy Technician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1663286400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1663286400000",
"number": "1093437998",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1301 JUSTIN RD STE 201",
"city": "LEWISVILLE",
"state": "TX",
"postal_code": "750772183",
"telephone_number": "972-836-9442"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1301 JUSTIN RD STE 201",
"city": "LEWISVILLE",
"state": "TX",
"postal_code": "750772183",
"telephone_number": "972-836-9442"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CAMPBELL",
"first_name": "CLARONDA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-09-16",
"last_updated": "2022-09-16",
"certification_date": "2022-09-16",
"status": "A"
},
"taxonomies": [
{
"code": "246RP1900X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Technician, Pathology, Phlebotomy",
"state": "TX",
"license": "37376291",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "LAB",
"affiliation": "N",
"endpointDescription": "LABS",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "1301 Justin Rd Ste 201",
"city": "Lewisville",
"state": "TX",
"country_code": "US",
"postal_code": "750772183",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Lewisville, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.