Individual provider Active NPI

Susan Estelle Camp, ARNP

  • Adult Health Nurse Practitioner
  • Olympia, WA
National Provider Identifier
1104134923
Registry record updated Sep 14, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
AP30002318 Issued in WA
Practice address
2700 Evergreen Pkwy NW
Seminar 1-2110
Olympia, WA 98505-0001
Phone
(360) 867-5834
Fax
(360) 867-6787
NPI assigned
Sep 14, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 14, 2010

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X RN00090270 WA
Adult Health Nurse Practitioner 363LA2200X AP30002318 WA Primary

Addresses

Primary practice location

2700 Evergreen Pkwy NW
Seminar 1-2110
Olympia, WA 98505-0001

Mailing address

2700 Evergreen Pkwy NW
Seminar 1-2110
Olympia, WA 98505-0001
Phone (360) 867-5834

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

LicenseStateTypeSpecialty
RN00090270WAMDRegistered Nurse
AP30002318WAMDAdult Health Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1284422400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1284422400000",
    "number": "1104134923",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2700 EVERGREEN PKWY NW",
            "address_2": "SEMINAR 1-2110",
            "city": "OLYMPIA",
            "state": "WA",
            "postal_code": "985050001",
            "telephone_number": "360-867-5834",
            "fax_number": "360-867-6787"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2700 EVERGREEN PKWY NW",
            "address_2": "SEMINAR 1-2110",
            "city": "OLYMPIA",
            "state": "WA",
            "postal_code": "985050001",
            "telephone_number": "360-867-5834",
            "fax_number": "360-867-6787"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAMP",
        "first_name": "SUSAN",
        "middle_name": "ESTELLE",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-09-14",
        "last_updated": "2010-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "WA",
            "license": "RN00090270",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "WA",
            "license": "AP30002318",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Olympia, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2010; 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.