Active NPI
Lynn Campbell
- Behavior Analyst
- North Las Vegas, NV
National Provider Identifier
1285072041
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- Practice address
- 1200 Helen Ave
North Las Vegas, NV 89030-3721 - Phone
- (702) 636-9229
- Fax
- (702) 636-9229
- NPI assigned
- Jun 13, 2013
- 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 |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | Primary |
Addresses
Primary practice location
1200 Helen Ave
North Las Vegas, NV 89030-3721
Mailing address
4214 W El Campo Grande Ave
North Las Vegas, NV 89031-3652
Phone (702) 359-0726
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 461291354 | Medicaid | NV |
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Eisteam Communuty Wellness Centers | Past | Accepting new patients | |
| Eisteam Community Wellness Centers | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Community/Behavioral Health Agency
- North Las Vegas, NV
- NPI 1619310646
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- North Las Vegas, NV
- NPI 1255774915
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1371081600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1371081600000",
"number": "1285072041",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4214 W EL CAMPO GRANDE AVE",
"city": "NORTH LAS VEGAS",
"state": "NV",
"postal_code": "890313652",
"telephone_number": "702-359-0726",
"fax_number": "702-359-0726"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1200 HELEN AVE",
"city": "NORTH LAS VEGAS",
"state": "NV",
"postal_code": "890303721",
"telephone_number": "702-636-9229",
"fax_number": "702-636-9229"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CAMPBELL",
"first_name": "LYNN",
"name_prefix": "Mrs.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-06-13",
"last_updated": "2013-06-13",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "461291354",
"state": "NV"
}
],
"endpoints": [],
"other_names": []
}Other providers in North Las Vegas, NV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.