Individual provider Active NPI

Camille Lawhead

  • Family Nurse Practitioner
  • Bronx, NY
National Provider Identifier
1205446218
Registry record updated Nov 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
346582 Issued in NY
Practice address
731 White Plains Rd
Bronx, NY 10473-2631
Phone
(347) 886-0448
NPI assigned
Aug 4, 2020
Last updated
Nov 27, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 27, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 346582 NY Primary
Registered Nurse 163W00000X 772798-01 NY

Addresses

Primary practice location

731 White Plains Rd
Bronx, NY 10473-2631

Mailing address

731 White Plains Rd
Bronx, NY 10473-2631
Phone (347) 886-0448

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address camille.lawhead@ynhh.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, DC2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20220127000839 PA Practitioner - Nurse Practitioner 4183034598 Reassigns benefits to 1 organization
I20250212003075 DC Practitioner - Nurse Practitioner 4183034598 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
772798-01NYMDRegistered Nurse
346582NYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Neighborhood Health Current Accepting new patients
Neighborhood Health CurrentSince Jan 13, 2025 Accepting new patients
Delaware Valley Community Health, Inc. CurrentSince Jan 1, 2022 Accepting new patients
Delaware Valley Community Health, Inc. CurrentSince Jan 1, 2022 Accepting new patients
Delaware Valley Community Health, Inc. Current Accepting new patients
Neighborhood Health CurrentSince Jan 13, 2025 Accepting new patients
Neighborhood Health Past Accepting new patients

Locations

1412 Fairmount Ave
Philadelphia, PA 19130
Phone (215) 235-9600

1200 N Howard St
Alexandria, VA 22304
Phone (703) 519-5979

1225 Martha Custis Dr
Ste C1
Alexandria, VA 22302
Phone (703) 671-2700

2 E Glebe Rd
Alexandria, VA 22305
Phone (703) 535-6913

2616 Sherwood Hall Ln
Ste 106
Alexandria, VA 22306
Phone (703) 360-0300

6677 Richmond Hwy
Alexandria, VA 22306
Phone (703) 946-6341

8119 Holland Rd
Alexandria, VA 22306
Phone (703) 360-6910

8350 Richmond Hwy
Ste 301
Alexandria, VA 22309
Phone (703) 535-6913

6715 Little River Tpke
Ste 201
Annandale, VA 22003
Phone (703) 914-3640

2100 Washington Blvd
Arlington, VA 22204
Phone (703) 228-1600

3401 Columbia Pike
Ste 200
Arlington, VA 22204
Phone (703) 717-7545

8221 Willow Oaks Corporate Dr
Ste 450
Fairfax, VA 22031
Phone (703) 237-3446

Interoperability endpoints

  • Direct secure messaging: camille.lawhead.p1@direct.dvch.nextgenshare.com
  • Direct secure messaging: camille.lawhead@nhnva.eclinicaldirectplus.com

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1596499200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701043200000",
    "number": "1205446218",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "731 WHITE PLAINS RD",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104732631",
            "telephone_number": "347-886-0448"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "731 WHITE PLAINS RD",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104732631",
            "telephone_number": "347-886-0448"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAWHEAD",
        "first_name": "CAMILLE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-08-04",
        "last_updated": "2023-11-27",
        "certification_date": "2020-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "346582",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "772798-01",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "camille.lawhead@ynhh.org",
            "affiliation": "Y",
            "address_1": "20 York St",
            "city": "New Haven",
            "state": "CT",
            "country_code": "US",
            "postal_code": "065103220",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Bronx, NY

Sources for this page

Verify at the official NPI Registry.