Active NPI
C L Cambell LLC
- Family Nurse Practitioner
- Heber City, UT
National Provider Identifier
1346556909
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 852049924405
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 528867559-002 | Medicaid | UT |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Nurse Practitioner
- Heber City, UT
- NPI 1134112998
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.