Individual provider Active NPI

Adrianne Beth Campbell, FNP-BC

  • Family Nurse Practitioner
  • League City, TX
National Provider Identifier
1336789965
Registry record updated Jun 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1007524 Issued in TX
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, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 1, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230804001417 TX Practitioner - Nurse Practitioner 0648631770 Reassigns benefits to 1 organization

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
League City Spine and Sports Medicine PLLCGroup PAC ID 7012347859, 6 clinicians

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

LicenseStateTypeSpecialty
822804TXMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
League City Spine and Sports Medicine, PLLC CurrentSince May 15, 2023 Accepting new patients
South East Texas Post Acute Care Specialists Inc PastSince Jun 12, 2022 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.

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

Sources for this page

Verify at the official NPI Registry.