Active NPI
Blaine G. Campbell, NP
- Family Nurse Practitioner
- Murray, UT
National Provider Identifier
1326017542
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 325671-4405
- Practice address
- 835 E 4800 S
Suite 230
Murray, UT 84107 - Phone
- (801) 716-7008
- Fax
- (888) 990-1557
- NPI assigned
- Mar 17, 2006
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 325671-4405 | UT | Primary |
Addresses
Primary practice location
835 E 4800 S
Suite 230
Murray, UT 84107
Mailing address
835 E 4800 S
Suite 230
Murray, UT 84107
Phone (801) 716-7008
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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Charles Canfield, MD, LLC | Past | Accepting new patients | |
| SMP Family Medicine, PC | 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.
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-
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- Salt Lake City, UT
- NPI 1083642151
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1142553600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1450396800000",
"number": "1326017542",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "835 E 4800 S",
"address_2": "SUITE 230",
"city": "MURRAY",
"state": "UT",
"postal_code": "84107",
"telephone_number": "801-716-7008",
"fax_number": "888-990-1557"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "835 E 4800 S",
"address_2": "SUITE 230",
"city": "MURRAY",
"state": "UT",
"postal_code": "84107",
"telephone_number": "801-716-7008",
"fax_number": "888-990-1557"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CAMPBELL",
"first_name": "BLAINE",
"middle_name": "G.",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-03-17",
"last_updated": "2015-12-18",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "UT",
"license": "325671-4405",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Murray, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.