Individual provider Active NPI

Nanci Hargrave Campbell, AU.D.

  • Audiologist
  • Carson City, NV
National Provider Identifier
1245299536
Registry record updated Mar 4, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
A136 Issued in NV
Practice address
844 W Nye LN
Suite 203
Carson City, NV 89703-1544
Phone
(775) 883-4764
Fax
(775) 883-1778
NPI assigned
Mar 23, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 4, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X A136 NV Primary

Addresses

Primary practice location

844 W Nye LN
Suite 203
Carson City, NV 89703-1544

Mailing address

844 W Nye LN
Suite 203
Carson City, NV 89703-1544
Phone (775) 883-4764

Other identifiers 2

IdentifierTypeStateIssuer
251OtherNVHEARING AID DISPENSING LI
A136OtherNVAUDIOLOGY LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060727000464 NV Practitioner - Qualified Audiologist 4284647801 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Nanci Campbell, Aud, LLC Audiologist CurrentSince Jun 29, 2006 Accepting new patients

Locations

410 Fleischmann Way
Ste B
Carson City, NV 89703
Phone (775) 887-8885

844 W Nye Ln
Ste 203
Carson City, NV 89703
Phone (775) 883-4764

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 and National Provider Directory roles.

Care Compare profile

Medicare Care Compare
Specialty
Qualified Audiologist
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

844 W Nye LN
Suite 203
Carson City, NV 89703-1570
Phone (775) 883-4764

NPI Registry JSON

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

{
    "created_epoch": "1143072000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1236124800000",
    "number": "1245299536",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "844 W NYE LN",
            "address_2": "SUITE 203",
            "city": "CARSON CITY",
            "state": "NV",
            "postal_code": "897031544",
            "telephone_number": "775-883-4764",
            "fax_number": "775-883-1778"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "844 W NYE LN",
            "address_2": "SUITE 203",
            "city": "CARSON CITY",
            "state": "NV",
            "postal_code": "897031544",
            "telephone_number": "775-883-4764",
            "fax_number": "775-883-1778"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAMPBELL",
        "first_name": "NANCI",
        "middle_name": "HARGRAVE",
        "name_prefix": "Dr.",
        "credential": "AU.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-03-23",
        "last_updated": "2009-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "NV",
            "license": "A136",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEARING AID DISPENSING LI",
            "identifier": "251",
            "state": "NV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AUDIOLOGY LICENSE",
            "identifier": "A136",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Carson City, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.