Camilla Brenda Campbell-Thornburg, CNA

Primary specialty

Home Health AideTaxonomy code 374U00000X

License

NC61444087 Issued in WA

Practice address

4200 6TH Ave SE Ste 201
Lacey, WA 98503-1042

Phone

(360) 459-8311

NPI assigned

Oct 8, 2024

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

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": "1728345600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728345600000",
    "number": "1194544965",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7609 RUSHMORE WAY NE",
            "city": "LACEY",
            "state": "WA",
            "postal_code": "985161340",
            "telephone_number": "243-228-7613"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4200 6TH AVE SE STE 201",
            "city": "LACEY",
            "state": "WA",
            "postal_code": "985031042",
            "telephone_number": "360-459-8311"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAMPBELL-THORNBURG",
        "first_name": "CAMILLA",
        "middle_name": "BRENDA",
        "credential": "CNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-10-08",
        "last_updated": "2024-10-08",
        "certification_date": "2024-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "374U00000X",
            "taxonomy_group": "",
            "desc": "Home Health Aide",
            "state": "WA",
            "license": "NC61444087",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rocio Camarena
• Cynthia Marie Cameli, PAC
• Spenser E Cammack, D.D.S.
• Camp Chiropractic Center Incorporated
• David Allen Camp, B.S., D.C.
• Cheri M Campbell, LMHC
• Krystal Campbell
• Nicole Campbell, CCC-SLP
• Marcelino Campos
• Roya Sabrina Candia, LMHCA

• Home Health Aide in Lacey, WA
• Providers in Lacey, WA by specialty
• Home Health Aide in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2024; 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.