Active NPI
Christine Lynn Campbell, M.D.
- Psychiatry Physician
- Apo Ae, TX
National Provider Identifier
1174517387
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 12542
- Practice address
- Lanstuhl Regional Medical Center
Unit 33100
Apo Ae, TX 09018-3100 - Phone
- (314) 590-6635
- NPI assigned
- Sep 1, 2005
- Last updated
- Jun 9, 2022
- 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 |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 12542 | HI | Primary |
Addresses
Primary practice location
Lanstuhl Regional Medical Center
Unit 33100
Apo Ae, TX 09018-3100
Mailing address
1672 Bent Tree
Abilene, TX 79602-5224
Phone (325) 513-7514
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 12542 | Other | HI | MEDICAL LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 12542 | HI | MD | Psychiatry Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1125532800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1654732800000",
"number": "1174517387",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1672 BENT TREE",
"city": "ABILENE",
"state": "TX",
"postal_code": "796025224",
"telephone_number": "325-513-7514"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "LANSTUHL REGIONAL MEDICAL CENTER",
"address_2": "UNIT 33100",
"city": "APO AE",
"state": "TX",
"postal_code": "090183100",
"telephone_number": "314-590-6635"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CAMPBELL",
"first_name": "CHRISTINE",
"middle_name": "LYNN",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-09-01",
"last_updated": "2022-06-09",
"certification_date": "2022-06-01",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "HI",
"license": "12542",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAL LICENSE",
"identifier": "12542",
"state": "HI"
}
],
"endpoints": [],
"other_names": []
}Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2022; 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.