Elaina L Campbell, CPNP, MSN

Primary specialty

Pediatric Nurse PractitionerTaxonomy code 363LP0200X

License

726675 Issued in TX

Practice address

3604 S Cooper St
Suite 120
Arlington, TX 76015-3481

Phone

(817) 466-8008

NPI assigned

Sep 17, 2005

Last updated

Nov 12, 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

Medicare fee-for-service enrollment

Enrolled in TX

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

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Pediatric Nurse Practitioner, Master of Science - Nursing, Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: elaina.campbell.1@8042.direct.athenahealth.com
• FHIR API: https://api.platform.athenahealth.com/8042/brand/1/csg/1/fhir/r4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Texas Health Care, P.L.L.C.

  • Interventional Pain Medicine Physician
  • Fort Worth, TX
  • NPI 1477628873
  Medicare reassignment NPD
• Texas Health Care, P.L.L.C.

  • Family Medicine Physician
  • Fort Worth, TX
  • NPI 1821026352
  NPD
• Gold Pediatrics PA

  • Pediatrics Physician
  • Arlington, TX
  • NPI 1447598412
  NPD (past)

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

{
    "created_epoch": "1126915200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1384214400000",
    "number": "1154316941",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3604 S COOPER ST",
            "address_2": "SUITE 120",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760153481",
            "telephone_number": "817-466-8008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3604 S COOPER ST",
            "address_2": "SUITE 120",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760153481",
            "telephone_number": "817-466-8008"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAMPBELL",
        "first_name": "ELAINA",
        "middle_name": "L",
        "name_prefix": "Mrs.",
        "credential": "CPNP, MSN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-09-17",
        "last_updated": "2013-11-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "TX",
            "license": "726675",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cam Equity LLC (Doctors at Home)
• Cambios Y Libre Education & Treatment Center LLC
• Abigail Lynne Camero, PA-C
• Adam Campbell, ATC, LAT
• Donna Christine Campbell, PSY.D.
• Holly Campbell, LCSW
• Jeannie Marie Campbell, CCC-SLP
• Alyssa Campos
• Brittney Ann Campos, LPC
• Can Community Health Inc. (CAN Community Health Pharmacy of Arlington)

• Pediatric Nurse Practitioner in Arlington, TX
• Providers in Arlington, TX by specialty
• Pediatric Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.