Active NPI
Ebone Le Trice Campbell
- Personal Care Attendant
- Washington, DC
National Provider Identifier
1295367696
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Personal Care Attendant
- License
- 1995204
- Practice address
- 1711 Benning Rd NE Apt F14
Washington, DC 20002-7250 - Phone
- (202) 487-3413
- NPI assigned
- Feb 4, 2020
- 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 |
|---|---|---|---|---|
| Personal Care Attendant | 3747P1801X | 1995204 | DC | Primary |
Addresses
Primary practice location
1711 Benning Rd NE Apt F14
Washington, DC 20002-7250
Mailing address
1818 Alabama Ave SE
Washington, DC 20020-2810
Phone (202) 315-7846
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1995204 | DC | MD | Personal Care Attendant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1580774400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1580774400000",
"number": "1295367696",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1818 ALABAMA AVE SE",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "200202810",
"telephone_number": "202-315-7846"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1711 BENNING RD NE APT F14",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "200027250",
"telephone_number": "202-487-3413"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CAMPBELL",
"first_name": "EBONE",
"middle_name": "LE TRICE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-02-04",
"last_updated": "2020-02-04",
"certification_date": "2020-02-04",
"status": "A"
},
"taxonomies": [
{
"code": "3747P1801X",
"taxonomy_group": "",
"desc": "Technician, Personal Care Attendant",
"state": "DC",
"license": "1995204",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Washington, DC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.