Individual provider Active NPI

Christine A Campbell, MS

  • Audiologist
  • Lafayette, IN
National Provider Identifier
1275774945
Registry record updated Mar 10, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
23002071A Issued in IN
Practice address
2320 Concord Rd
C/O Lafayette ENT
Lafayette, IN 47909-2710
Phone
(765) 477-7436
Fax
(765) 477-1245
NPI assigned
Mar 10, 2009
Last updated
Mar 10, 2009By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 10, 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 23002071A IN Primary

Addresses

Primary practice location

2320 Concord Rd
C/O Lafayette ENT
Lafayette, IN 47909-2710

Mailing address

2320 Concord Rd
C/O Lafayette ENT
Lafayette, IN 47909-2710
Phone (765) 477-7436

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)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
23002071AINMDAudiologist

Practice roles

OrganizationSpecialtyStatusNew patients
Lafayette Otolaryngology Associates, Inc CurrentSince Feb 24, 2009 Accepting new patients

Locations

2320 Concord Rd
Lafayette, IN 47909
Phone (765) 446-5300

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.

NPI Registry JSON

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

{
    "created_epoch": "1236643200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1236643200000",
    "number": "1275774945",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2320 CONCORD RD",
            "address_2": "C/O LAFAYETTE ENT",
            "city": "LAFAYETTE",
            "state": "IN",
            "postal_code": "479092710",
            "telephone_number": "765-477-7436",
            "fax_number": "765-477-1245"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2320 CONCORD RD",
            "address_2": "C/O LAFAYETTE ENT",
            "city": "LAFAYETTE",
            "state": "IN",
            "postal_code": "479092710",
            "telephone_number": "765-477-7436",
            "fax_number": "765-477-1245"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAMPBELL",
        "first_name": "CHRISTINE",
        "middle_name": "A",
        "name_prefix": "Mrs.",
        "credential": "MS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-03-10",
        "last_updated": "2009-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "IN",
            "license": "23002071A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lafayette, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.