Individual provider Active NPI

David C McCampbell, RN CRR

  • Reflexologist
  • Eau Claire, WI
National Provider Identifier
1396997771
Registry record updated Oct 16, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ReflexologistTaxonomy code 173C00000X
License
70364-030 Issued in WI
Practice address
5316 Shorewood Dr
Eau Claire, WI 54703-9670
Phone
(715) 835-1925
NPI assigned
Oct 16, 2008
Last updated
Oct 16, 2008By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 16, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Reflexologist 173C00000X 70364-030 WI Primary

Addresses

Primary practice location

5316 Shorewood Dr
Eau Claire, WI 54703-9670

Mailing address

5316 Shorewood Dr
Eau Claire, WI 54703-9670
Phone (715) 835-1925

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
70364-030WIMDReflexologist

NPI Registry JSON

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

{
    "created_epoch": "1224115200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1224115200000",
    "number": "1396997771",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5316 SHOREWOOD DR",
            "city": "EAU CLAIRE",
            "state": "WI",
            "postal_code": "547039670",
            "telephone_number": "715-835-1925"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5316 SHOREWOOD DR",
            "city": "EAU CLAIRE",
            "state": "WI",
            "postal_code": "547039670",
            "telephone_number": "715-835-1925"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCAMPBELL",
        "first_name": "DAVID",
        "middle_name": "C",
        "name_prefix": "Mr.",
        "credential": "RN CRR",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-10-16",
        "last_updated": "2008-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "173C00000X",
            "taxonomy_group": "",
            "desc": "Reflexologist",
            "state": "WI",
            "license": "70364-030",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Eau Claire, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2008; 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.