Individual provider Active NPI

Rose Marie Campbell, PNP-C

  • Pediatric Nurse Practitioner
  • Sulphur Springs, TX
National Provider Identifier
1295028470
Registry record updated Jan 25, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Nurse PractitionerTaxonomy code 363LP0200X
License
AP132989 Issued in TX
Practice address
105 Medical PLZ
Sulphur Springs, TX 75482-2136
Phone
(903) 885-5439
NPI assigned
May 22, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 25, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Nurse Practitioner 363LP0200X AP132989 TX Primary

Addresses

Primary practice location

105 Medical PLZ
Sulphur Springs, TX 75482-2136

Mailing address

PO Box 1367
Sulphur Springs, TX 75483-1367
Phone (903) 885-5439

Other names 1

  • Rose Marie Csonka Former name

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
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Campbell Kids Pediatrics; PLLC Pediatrics Current Accepting new patients

Locations

7700 Lakeview Pkwy
Ste 300B
Rowlett, TX 75088
Phone (972) 272-4463

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/GDCHDD/Endpoint/GDCHDD
  • Direct secure messaging: rcampbell142377@christushealth.direct-ci.net

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.

NPI Registry JSON

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

{
    "created_epoch": "1306022400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1485302400000",
    "number": "1295028470",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1367",
            "city": "SULPHUR SPRINGS",
            "state": "TX",
            "postal_code": "754831367",
            "telephone_number": "903-885-5439"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 MEDICAL PLZ",
            "city": "SULPHUR SPRINGS",
            "state": "TX",
            "postal_code": "754822136",
            "telephone_number": "903-885-5439"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAMPBELL",
        "first_name": "ROSE",
        "middle_name": "MARIE",
        "credential": "PNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-05-22",
        "last_updated": "2017-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "TX",
            "license": "AP132989",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ROSE",
            "last_name": "CSONKA",
            "middle_name": "MARIE",
            "credential": "RN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Sulphur Springs, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2017; 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.