Active NPI
Patricia Campbell, ANP
- Adult Health Nurse Practitioner
- Phoenix, AZ
National Provider Identifier
1467645127
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Health Nurse Practitioner
- License
- RN056640
- Practice address
- 1300 N 12TH St Ste 301
Phoenix, AZ 85006-2813 - Phone
- (602) 839-6968
- Fax
- (602) 839-4144
- NPI assigned
- Aug 24, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | RN056640 | AZ | Primary |
Addresses
Primary practice location
1300 N 12TH St Ste 301
Phoenix, AZ 85006-2813
Mailing address
1300 N 12TH St Ste 301
Phoenix, AZ 85006-2813
Phone (602) 839-6968
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN056640 | AZ | MD | Adult Health Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1187913600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1382918400000",
"number": "1467645127",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1300 N 12TH ST STE 301",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850062813",
"telephone_number": "602-839-6968",
"fax_number": "602-839-4144"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1300 N 12TH ST STE 301",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850062813",
"telephone_number": "602-839-6968",
"fax_number": "602-839-4144"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CAMPBELL",
"first_name": "PATRICIA",
"credential": "ANP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-08-24",
"last_updated": "2013-10-28",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "AZ",
"license": "RN056640",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Phoenix, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.