Individual provider Active NPI

Kami Sue Campbell, C.N.P.

  • Registered Nurse
  • Washington Court House, OH
National Provider Identifier
1447578687
Registry record updated May 12, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
RN 254337 Issued in OH
Practice address
1270 US Rte 22 NW
Washington Court House, OH 43160
Phone
(740) 333-3310
NPI assigned
May 12, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 12, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X RN 254337 OH Primary

Addresses

Primary practice location

1270 US Rte 22 NW
Washington Court House, OH 43160

Mailing address

492 Brittim Dr
Washington Court House, OH 43160-3707
Phone (740) 335-5502

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160615001481 OH Order and Referring Only - Nurse Practitioner 6305137746

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
RN 254337OHMDRegistered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1273622400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1273622400000",
    "number": "1447578687",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "492 BRITTIM DR",
            "city": "WASHINGTON COURT HOUSE",
            "state": "OH",
            "postal_code": "431603707",
            "telephone_number": "740-335-5502"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1270 US RTE 22 NW",
            "city": "WASHINGTON COURT HOUSE",
            "state": "OH",
            "postal_code": "43160",
            "telephone_number": "740-333-3310"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAMPBELL",
        "first_name": "KAMI",
        "middle_name": "SUE",
        "name_prefix": "Mrs.",
        "credential": "C.N.P.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-05-12",
        "last_updated": "2010-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "OH",
            "license": "RN 254337",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Washington Court House, OH

Sources for this page

Verify at the official NPI Registry.