Holly Campbell, MSM, LM, CPM

Primary specialty

MidwifeTaxonomy code 176B00000X

License

MW60682419 Issued in WA

Practice address

20696 Bond Rd NE
BLDG C, Ste 110
Poulsbo, WA 98370-9015

Phone

(360) 779-0004

Fax

(206) 260-1261

NPI assigned

Mar 9, 2016

Last updated

Sep 9, 2016By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1457481600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1473379200000",
    "number": "1447611157",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20696 BOND RD NE",
            "address_2": "BLDG C, STE 110",
            "city": "POULSBO",
            "state": "WA",
            "postal_code": "983709015",
            "telephone_number": "360-779-0004",
            "fax_number": "206-260-1261"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20696 BOND RD NE",
            "address_2": "BLDG C, STE 110",
            "city": "POULSBO",
            "state": "WA",
            "postal_code": "983709015",
            "telephone_number": "360-779-0004",
            "fax_number": "206-260-1261"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAMPBELL",
        "first_name": "HOLLY",
        "credential": "MSM, LM, CPM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-03-09",
        "last_updated": "2016-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "176B00000X",
            "taxonomy_group": "",
            "desc": "Midwife",
            "state": "WA",
            "license": "MW60682419",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Edward O. Bye, R.PH.
• C & R Helath (Clark Chiropractic)
• Robert Charles Callahan, D.O.
• Joel Camp
• Grace Campbell
• Shannon Rae Cantrell, SUDP
• Carly N Carbo, SLP
• Kristen Carmel, P.T.A.
• Christy Carosella
• Jessica Carrier, P.A.

• Midwife in Poulsbo, WA
• Providers in Poulsbo, WA by specialty
• Midwife in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2016; 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.