Carolyn Sue Campbell II, CNP
Individual provider Active NPI Family Nurse Practitioner · Washington CH, OH
NPI 1316978752 · NPPES record last updated Sep 11, 2025
Key facts
- NPI
- 1316978752
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- NP-04143 (OH)
- Practice address
- 1227 US Rte 22 South West
Washington CH, OH 43160 - Phone
- (740) 333-3310
- Fax
- (740) 333-3310
- NPI assigned
- Jul 5, 2006
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in OH
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20170822003834 | OH | Order and Referring Only - Nurse Practitioner | 4486543360 |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Certified Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| NP-04143 | OH | MD | Family Nurse Practitioner |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | NP-04143 | OH | |
| Family Nurse Practitioner | 363LF0000X | NP-04143 | OH | Yes |
Addresses
Primary practice location
1227 US Rte 22 South West
Washington CH, OH 43160
Mailing address
1145 Storybrook Dr
Washington Court House, OH 43160-2602
Phone (740) 335-3892
Other providers in Washington CH, OH
- Fayette County
- Allen Dale Griffiths
- Christine Renee Halliday
- Penelope Ann Halliday
- William Glenn Hughes
All providers in Washington CH, OH · Family Nurse Practitioner in Ohio
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 11, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.