Active NPI
Margaret Lorene Campbell, PHD, RN
- Nurse Practitioner
- Detroit, MI
National Provider Identifier
1265460323
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 4704106856
- Practice address
- Detroit Receiving Hospital
4201 St. Antoine
Detroit, MI 48201 - Phone
- (313) 745-3271
- Fax
- (313) 745-3637
- NPI assigned
- Jun 29, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 4704106856 | MI | Primary |
Addresses
Primary practice location
Detroit Receiving Hospital
4201 St. Antoine
Detroit, MI 48201
Mailing address
18925 Birchcrest Dr
Detroit, MI 48221-2226
Phone (313) 341-3299
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2003066 | Medicaid | MI |
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
- Credentials
- Nurse Practitioner, Doctor of Philosophy, Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4704106856 | MI | MD | Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151539200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1265460323",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "18925 BIRCHCREST DR",
"city": "DETROIT",
"state": "MI",
"postal_code": "482212226",
"telephone_number": "313-341-3299",
"fax_number": "313-745-3637"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "DETROIT RECEIVING HOSPITAL",
"address_2": "4201 ST. ANTOINE",
"city": "DETROIT",
"state": "MI",
"postal_code": "48201",
"telephone_number": "313-745-3271",
"fax_number": "313-745-3637"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CAMPBELL",
"first_name": "MARGARET",
"middle_name": "LORENE",
"name_prefix": "Dr.",
"credential": "PHD, RN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-06-29",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "MI",
"license": "4704106856",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2003066",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Detroit, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.