Active NPI
Leslie Ann Campbell, LMP
- Massage Therapist
- Port Angeles, WA
National Provider Identifier
1205913555
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- MA00018226
- Practice address
- 810 S Eunice St
Port Angeles, WA 98362-7904 - Phone
- (360) 457-0333
- NPI assigned
- Nov 1, 2006
- Last updated
- Sep 3, 2008
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Massage Therapist | 225700000X | MA00018226 | WA | Primary |
Addresses
Primary practice location
810 S Eunice St
Port Angeles, WA 98362-7904
Mailing address
2713 Dan Kelly Rd
Port Angeles, WA 98363-9695
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MA00018226 | WA | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162339200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1220400000000",
"number": "1205913555",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2713 DAN KELLY RD",
"city": "PORT ANGELES",
"state": "WA",
"postal_code": "983639695"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "810 S EUNICE ST",
"city": "PORT ANGELES",
"state": "WA",
"postal_code": "983627904",
"telephone_number": "360-457-0333"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CAMPBELL",
"first_name": "LESLIE",
"middle_name": "ANN",
"name_prefix": "Ms.",
"credential": "LMP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-11-01",
"last_updated": "2008-09-03",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "WA",
"license": "MA00018226",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Port Angeles, WA
- Joseph G Cammack
- Cammacks Pharmacies Inc (Cammacks Clinical Services)
- Cammacks Pharmacies Inc (Jims Pharmacy)
- Cammacks Pharmacies Inc (Jims Pharmacy and Home Health)
- Cammacks Pharmacies Inc (Jim's Pharmacy)
- Richard Ney Canaan, MD
- Canoga Medical Supply, Inc
- Cardiff Beach, LLC (Olympic View Post Acute)
- Caregivers Home Health
- Caregivers Home Health, Inc
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.