Individual provider Active NPI

Billie Jo Campbell, APRN

  • Psychiatric/Mental Health Nurse Practitioner
  • Bowling Green, KY
National Provider Identifier
1114234739
Registry record updated Nov 9, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
3006626 Issued in KY
Practice address
380 Suwannee Trail St
Bowling Green, KY 42103-7956
Phone
(270) 901-5000
NPI assigned
Sep 2, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 9, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 3006626 KY Primary

Addresses

Primary practice location

380 Suwannee Trail St
Bowling Green, KY 42103-7956

Mailing address

1641 Camden CT
Bowling Green, KY 42103-1430
Phone (270) 799-6821

Other identifiers 1

IdentifierTypeStateIssuer
7100133390MedicaidKY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
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
I20110721000621 KY Practitioner - Nurse Practitioner 3779751557 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Lifeskills, IncGroup PAC ID 8820902638, 47 clinicians

Practice addresses (Care Compare)

380 Suwannee Trail St
Bowling Green, KY 42103-7956
Phone (270) 901-5000

608 Happy Valley Rd
Glasgow, KY 42141-1561
Phone (270) 901-5000

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3006626KYMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Lifeskills, Inc. CurrentSince Jan 11, 2011 Accepting new patients

Locations

8324 Eagle Way
Chicago, IL 60678

822 Woodway St
Bowling Green, KY 42101

501 Chestnut St
Bowling Green, KY 42101
Phone (270) 901-5712

380 Suwannee Trail St
Bowling Green, KY 42103

205 Mohawk St
Brownsville, KY 42210
Phone (270) 597-2713

112 Sartin Dr
Edmonton, KY 42129
Phone (270) 432-2266

608 Happy Valley Rd
Glasgow, KY 42141
Phone (270) 651-8379

222 Industrial Dr N
Morgantown, KY 42261
Phone (270) 526-3877

118 W Union St
Munfordville, KY 42765
Phone (270) 524-2713

512 Veterans Memorial Hwy
Scottsville, KY 42164
Phone (270) 237-4481

Organizations & group practices 1

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": "1283385600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1604880000000",
    "number": "1114234739",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1641 CAMDEN CT",
            "city": "BOWLING GREEN",
            "state": "KY",
            "postal_code": "421031430",
            "telephone_number": "270-799-6821",
            "fax_number": "270-842-5268"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "380 SUWANNEE TRAIL ST",
            "city": "BOWLING GREEN",
            "state": "KY",
            "postal_code": "421037956",
            "telephone_number": "270-901-5000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAMPBELL",
        "first_name": "BILLIE",
        "middle_name": "JO",
        "name_prefix": "Ms.",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-09-02",
        "last_updated": "2020-11-09",
        "certification_date": "2020-11-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "KY",
            "license": "3006626",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100133390",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bowling Green, KY

Sources for this page

Verify at the official NPI Registry.