Active NPI
Kari Lynn Van Camp, APRN-RX,CPNP-PC,FNP
- Family Nurse Practitioner
National Provider Identifier
1235520636
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 670
- Practice address
- 80 Port Street East
408
Mississauga, ONTARIO L5G4V6
CA - Phone
- (416) 476-9115
- NPI assigned
- Feb 7, 2015
- Last updated
- Mar 7, 2023
- 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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 670 | HI | Primary |
| Pediatric Nurse Practitioner | 363LP0200X | 670 | HI | |
| Community Health/Public Health Clinical Nurse Specialist | 364SC1501X | 670 | HI | |
| Psychiatric/Mental Health Clinical Nurse Specialist | 364SP0808X | 670 | HI |
Addresses
Primary practice location
80 Port Street East
408
Mississauga, ONTARIO L5G4V6
CA
Mailing address
727 Wainee St
201
Lahaina, HI 96761-1589
Phone (808) 280-4192
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 670 | HI | MD | Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Maui Counseling Centers Inc. | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Psychologist
- Lahaina, HI
- NPI 1134563570
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1423267200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1678147200000",
"number": "1235520636",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "727 WAINEE ST",
"address_2": "201",
"city": "LAHAINA",
"state": "HI",
"postal_code": "967611589",
"telephone_number": "808-280-4192"
},
{
"country_code": "CA",
"country_name": "Canada",
"address_purpose": "LOCATION",
"address_type": "FGN",
"address_1": "80 PORT STREET EAST",
"address_2": "408",
"city": "MISSISSAUGA",
"state": "ONTARIO",
"postal_code": "L5G4V6",
"telephone_number": "416-476-9115"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VAN CAMP",
"first_name": "KARI",
"middle_name": "LYNN",
"credential": "APRN-RX,CPNP-PC,FNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-02-07",
"last_updated": "2023-03-07",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "HI",
"license": "670",
"primary": true
},
{
"code": "363LP0200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Pediatrics",
"state": "HI",
"license": "670",
"primary": false
},
{
"code": "364SC1501X",
"taxonomy_group": "",
"desc": "Clinical Nurse Specialist, Community Health/Public Health",
"state": "HI",
"license": "670",
"primary": false
},
{
"code": "364SP0808X",
"taxonomy_group": "",
"desc": "Clinical Nurse Specialist, Psychiatric/Mental Health",
"state": "HI",
"license": "670",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; 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.