Individual provider Active NPI

Lisa M Campana, RN

  • Critical Care Medicine Registered Nurse
  • Bear, DE
National Provider Identifier
1396003992
Registry record updated May 2, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Critical Care Medicine Registered NurseTaxonomy code 163WC0200X
License
L1-0025244 Issued in DE
Practice address
234 Brandywine Dr
Bear, DE 19701-1269
Phone
(302) 559-3151
NPI assigned
May 2, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 2, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Care Medicine Registered Nurse 163WC0200X L1-0025244 DE Primary

Addresses

Primary practice location

234 Brandywine Dr
Bear, DE 19701-1269

Mailing address

234 Brandywine Dr
Bear, DE 19701-1269
Phone (302) 559-3151

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
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
L1-0025244DEMDCritical Care Medicine Registered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1335916800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1335916800000",
    "number": "1396003992",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "234 BRANDYWINE DR",
            "city": "BEAR",
            "state": "DE",
            "postal_code": "197011269",
            "telephone_number": "302-559-3151"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "234 BRANDYWINE DR",
            "city": "BEAR",
            "state": "DE",
            "postal_code": "197011269",
            "telephone_number": "302-559-3151"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAMPANA",
        "first_name": "LISA",
        "middle_name": "M",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-05-02",
        "last_updated": "2012-05-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WC0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Critical Care Medicine",
            "state": "DE",
            "license": "L1-0025244",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bear, DE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2012; 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.