Lenora Kay Campbell, APRN
Individual provider Active NPI Nurse Practitioner · Hyden, KY
NPI 1124120035 · NPPES record last updated Jan 16, 2019
Key facts
- NPI
- 1124120035
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Nurse Practitioner 363L00000X
- License
- 3002560 (KY)
- Practice address
- 21154 Highway 421 # 1
Hyden, KY 41749-8553 - Phone
- (606) 672-1208
- NPI assigned
- Sep 1, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 6
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in KY
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20031215000155 | KY | Practitioner - Nurse Practitioner | 5395642821 |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2560 | KY | MD | Registered Dietitian |
| 2560P | KY | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Physicians Referral Service | Current | Accepting new patients | |
| Zipclinic, PSC | Current |
Accepting new patients | |
| Appalachian Health Care Inc | Past | Accepting new patients | |
| Appalachian Regional Healthcare, Inc | Past | Accepting new patients | |
| Appalachian Physicians PSC | Past | Accepting new patients | |
| Mary Breckinridge Healthcare, Inc. | Nurse Practitioner | Past | Accepting new patients |
Locations
651 US 31W Byp
Bowling Green, KY 42101
Phone (270) 495-0440
2508 Scottsville Rd
Ste 104
Bowling Green, KY 42104
Phone (270) 746-6330
1515 Holcombe Blvd
#R4212
Houston, TX 77030
Phone (713) 794-5446
Interoperability endpoints
- https://api.platform.athenahealth.com/25237/brand/1/csg/1/fhir/r4
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 2560P | KY | |
| Nurse Practitioner | 363L00000X | 3002560 | KY | Yes |
Addresses
Primary practice location
21154 Highway 421 # 1
Hyden, KY 41749-8553
Mailing address
2550 Windy Hill Rd SE
Ste 215
Marietta, GA 30067-8654
Phone (770) 850-8464
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 78006939 | Medicaid | KY |
Other providers in Hyden, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 16, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.