Active NPI
Brittany Michelle Campbell
- Peer Specialist
- Waynoka, OK
National Provider Identifier
1174196208
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Peer Specialist
- Practice address
- 1095 Nickerson St
Waynoka, OK 73860-1252 - Phone
- (580) 824-0674
- Fax
- (580) 824-0676
- NPI assigned
- Jul 16, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Peer Specialist | 175T00000X | OK | Primary |
Addresses
Primary practice location
1095 Nickerson St
Waynoka, OK 73860-1252
Mailing address
PO Box 135
Waynoka, OK 73860-0135
Phone (580) 824-0674
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | cmurrownwtc@pldi.net | Direct |
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Waynoka Mental Health Authority | Past | Accepting new patients | |
| Waynoka Mental Health Authority | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Substance Abuse Rehabilitation Facility
- Waynoka, OK
- NPI 1376991737
-
- Substance Abuse Rehabilitation Facility
- Waynoka, OK
- NPI 1942334768
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1626393600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1626393600000",
"number": "1174196208",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 135",
"city": "WAYNOKA",
"state": "OK",
"postal_code": "738600135",
"telephone_number": "580-824-0674",
"fax_number": "580-824-0676"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1095 NICKERSON ST",
"city": "WAYNOKA",
"state": "OK",
"postal_code": "738601252",
"telephone_number": "580-824-0674",
"fax_number": "580-824-0676"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CAMPBELL",
"first_name": "BRITTANY",
"middle_name": "MICHELLE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-07-16",
"last_updated": "2021-07-16",
"certification_date": "2021-07-16",
"status": "A"
},
"taxonomies": [
{
"code": "175T00000X",
"taxonomy_group": "",
"desc": "Peer Specialist",
"state": "OK",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "cmurrownwtc@pldi.net",
"affiliation": "N",
"endpointDescription": "Director's email",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "1095 Nickerson St",
"city": "Waynoka",
"state": "OK",
"country_code": "US",
"postal_code": "738601252",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Waynoka, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.