Active NPI
Adrianne Beth Campbell, FNP-BC
- Family Nurse Practitioner
- League City, TX
National Provider Identifier
1336789965
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 1007524
- Practice address
- 1216 E Main St Ste a
League City, TX 77573-7463 - Phone
- (281) 332-3428
- NPI assigned
- Jan 11, 2020
- Last updated
- Jun 1, 2023
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 1007524 | TX | Primary |
| Registered Nurse | 163W00000X | 822804 | TX |
Addresses
Primary practice location
1216 E Main St Ste a
League City, TX 77573-7463
Mailing address
269 W Creek Dr
League City, TX 77573-3481
Phone (303) 710-0789
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1216 E Main St
Suite a
League City, TX 77573-7463
Phone (281) 332-3428
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 822804 | TX | MD | Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| League City Spine and Sports Medicine, PLLC | Current | Accepting new patients | |
| South East Texas Post Acute Care Specialists Inc | Past | Accepting new patients |
Locations
1216 E Main St
Ste A
League City, TX 77573
Phone (281) 332-3428
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Physical Medicine & Rehabilitation Physician
- League City, TX
- NPI 1366000309
-
- Adult Medicine Physician
- Houston, TX
- NPI 1164181442
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1578700800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1685577600000",
"number": "1336789965",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "269 W CREEK DR",
"city": "LEAGUE CITY",
"state": "TX",
"postal_code": "775733481",
"telephone_number": "303-710-0789"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1216 E MAIN ST STE A",
"city": "LEAGUE CITY",
"state": "TX",
"postal_code": "775737463",
"telephone_number": "281-332-3428"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CAMPBELL",
"first_name": "ADRIANNE",
"middle_name": "BETH",
"credential": "FNP-BC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-01-11",
"last_updated": "2023-06-01",
"certification_date": "2023-06-01",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "TX",
"license": "1007524",
"primary": true
},
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "TX",
"license": "822804",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in League City, TX
- Tatianna Cain
- Calder Immediate Care PLLC
- Calder Urgent Care, PLLC
- Ximena Alexandra Camacho
- Cammarata Dental Associates-League City, PLLC (Cammarata Pediatric Dental Group)
- Barbara A Candley, LCSW
- Bernabe Braden Canlas, DPM
- Nathaniel Canon, PTA
- Cantu Capital Management LLC
- Cassandra Navarrete Cantu, NP
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.