Organization Active NPI

C L Cambell LLC

  • Family Nurse Practitioner
  • Heber City, UT
National Provider Identifier
1346556909
Registry record updated Aug 20, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
852049924405 Issued in UT
Legal business name
C L CAMBELL LLC
Practice address
728 W 100 S Ste 1
Heber City, UT 84032-3764
Phone
(435) 654-4192
Fax
(435) 654-4067
NPI assigned
Aug 20, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 20, 2010

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

Authorized official

Name
Lara Laperle
Title
Office Manager
Phone
(435) 654-4192

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LF0000X 852049924405 UT Primary

Addresses

Primary practice location

728 W 100 S Ste 1
Heber City, UT 84032-3764

Mailing address

728 W 100 S Ste 1
Heber City, UT 84032-3764
Phone (435) 654-4192

Other identifiers 1

IdentifierTypeStateIssuer
528867559-002MedicaidUT

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1282262400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1282262400000",
    "number": "1346556909",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "728 W 100 S STE 1",
            "city": "HEBER CITY",
            "state": "UT",
            "postal_code": "840323764",
            "telephone_number": "435-654-4192",
            "fax_number": "435-654-4067"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "728 W 100 S STE 1",
            "city": "HEBER CITY",
            "state": "UT",
            "postal_code": "840323764",
            "telephone_number": "435-654-4192",
            "fax_number": "435-654-4067"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "C L CAMBELL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-08-20",
        "last_updated": "2010-08-20",
        "status": "A",
        "authorized_official_last_name": "LAPERLE",
        "authorized_official_first_name": "LARA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "435-654-4192"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "UT",
            "license": "852049924405",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "528867559-002",
            "state": "UT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Heber City, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.