Individual provider Active NPI

Maria Shoaf Macdonald Camp, CPM, LLM

  • Midwife
  • Fayetteville, AR
National Provider Identifier
1386120202
Registry record updated Nov 13, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
MidwifeTaxonomy code 176B00000X
License
032019 Issued in AR
Practice address
2103 E Lee St
Fayetteville, AR 72701-7335
Phone
(913) 738-9766
NPI assigned
Jul 13, 2018
Last updated
Nov 13, 2019By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 13, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Midwife 176B00000X 032019 AR Primary
Doula 374J00000X

Addresses

Primary practice location

2103 E Lee St
Fayetteville, AR 72701-7335

Mailing address

2103 E Lee St
Fayetteville, AR 72701-7335
Phone (913) 738-9766

Other practice location 1

1923 Federal St
Kansas City, KS 66103-2123
Phone (913) 738-9766

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
032019ARMDMidwife

NPI Registry JSON

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

{
    "created_epoch": "1531440000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1573603200000",
    "number": "1386120202",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2103 E LEE ST",
            "city": "FAYETTEVILLE",
            "state": "AR",
            "postal_code": "727017335",
            "telephone_number": "913-738-9766"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2103 E LEE ST",
            "city": "FAYETTEVILLE",
            "state": "AR",
            "postal_code": "727017335",
            "telephone_number": "913-738-9766"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1923 Federal St",
            "address_purpose": "LOCATION",
            "city": "Kansas City",
            "state": "KS",
            "postal_code": "661032123",
            "country_code": "US",
            "telephone_number": "913-738-9766",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CAMP",
        "first_name": "MARIA",
        "middle_name": "SHOAF MACDONALD",
        "credential": "CPM, LLM",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-07-13",
        "last_updated": "2019-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "176B00000X",
            "taxonomy_group": "",
            "desc": "Midwife",
            "state": "AR",
            "license": "032019",
            "primary": true
        },
        {
            "code": "374J00000X",
            "taxonomy_group": "",
            "desc": "Doula",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fayetteville, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2019; 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.