Active NPI
Lauree Danielle Cameron, PA
- Physician Assistant
- Knoxville, TN
National Provider Identifier
1487807384
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 1150
- Practice address
- 9430 Park West Blvd Ste 130
Knoxville, TN 37923-4205 - Phone
- (865) 690-4861
- Fax
- (865) 560-8525
- NPI assigned
- Oct 23, 2008
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | 1150 | TN | |
| Surgical Physician Assistant | 363AS0400X | 1150 | TN | |
| Physician Assistant | 363A00000X | 1150 | TN | Primary |
Addresses
Primary practice location
9430 Park West Blvd Ste 130
Knoxville, TN 37923-4205
Mailing address
363 W Main St
Lewisville, TX 75057-3867
Phone (972) 436-4434
Other practice location 1
9430 Park West Blvd
Suite 130
Knoxville, TN 37923-4200
Phone (865) 690-4861
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1509729 | Medicaid | TN | |
| P00691294 | Other | RR MEDICARE |
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)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1341 | CO | MD | Clinical Social Worker |
| 1150 | TN | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dny Medical Services, PLLC | Current | Accepting new patients |
Locations
4322 W Highway 82
Apt 1
Gainesville, TX 76240
Phone (940) 665-6060
363 W Main St
Lewisville, TX 75057
Phone (214) 734-7623
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Health Service Clinic/Center
- Gainesville, TX
- NPI 1871168534
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1224720000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1625097600000",
"number": "1487807384",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "363 W MAIN ST",
"city": "LEWISVILLE",
"state": "TX",
"postal_code": "750573867",
"telephone_number": "972-436-4434"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9430 PARK WEST BLVD STE 130",
"city": "KNOXVILLE",
"state": "TN",
"postal_code": "379234205",
"telephone_number": "865-690-4861",
"fax_number": "865-560-8525"
}
],
"practiceLocations": [
{
"address_1": "9430 Park West Blvd",
"address_2": "Suite 130",
"address_purpose": "LOCATION",
"city": "Knoxville",
"state": "TN",
"postal_code": "379234200",
"country_code": "US",
"telephone_number": "865-690-4861",
"fax_number": "865-560-8525",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CAMERON",
"first_name": "LAUREE",
"middle_name": "DANIELLE",
"credential": "PA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-10-23",
"last_updated": "2021-07-01",
"certification_date": "2021-07-01",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "TN",
"license": "1150",
"primary": false
},
{
"code": "363AS0400X",
"taxonomy_group": "",
"desc": "Physician Assistant, Surgical",
"state": "TN",
"license": "1150",
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "TN",
"license": "1150",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1509729",
"state": "TN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE",
"identifier": "P00691294",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Knoxville, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.