Edie Irene Campbell, B.S.W.

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

CG60297276 Issued in WA

Practice address

4915 Antigua Dr
Pasco, WA 99301-8257

Phone

(509) 492-1979

NPI assigned

May 10, 2013

Last updated

May 10, 2013By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Edie Reineccius Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1368144000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1368144000000",
    "number": "1114363660",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4915 ANTIGUA DR",
            "city": "PASCO",
            "state": "WA",
            "postal_code": "993018257",
            "telephone_number": "509-492-1979"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4915 ANTIGUA DR",
            "city": "PASCO",
            "state": "WA",
            "postal_code": "993018257",
            "telephone_number": "509-492-1979"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAMPBELL",
        "first_name": "EDIE",
        "middle_name": "IRENE",
        "credential": "B.S.W.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-05-10",
        "last_updated": "2013-05-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "WA",
            "license": "CG60297276",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "EDIE",
            "last_name": "REINECCIUS",
            "credential": "B.S.W.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Ann M. Bushman, R.N.
• Nathan E. Bushman, D.D.S.
• Kindra K Cagle
• Brandon Call
• Zayra Camacho Flores
• Jacob Rodman Campbell
• James P Campbell, M.D.
• Maria C Campos
• Gregory Allen Carl, MD
• Judy Ann Carmona, BSW

• Behavior Analyst in Pasco, WA
• Providers in Pasco, WA by specialty
• Behavior Analyst in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2013; 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.