Active NPI
Karen Michelle Campbell, RNFA
- Registered Nurse First Assistant
- Longview, TX
National Provider Identifier
1568657401
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse First Assistant
- License
- 677901
- Practice address
- 1102 Blueridge Pkwy
Longview, TX 75605-1908 - Phone
- (903) 746-8775
- NPI assigned
- Sep 13, 2007
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Registered Nurse First Assistant | 163WR0006X | 677901 | TX | Primary |
Addresses
Primary practice location
1102 Blueridge Pkwy
Longview, TX 75605-1908
Mailing address
PO Box 6137
Longview, TX 75608-6137
Phone (903) 746-8775
Other names 1
- Ms. Karen Michelle Hancock
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 677901 | TX | MD | Registered Nurse First Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1189641600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1300838400000",
"number": "1568657401",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 6137",
"city": "LONGVIEW",
"state": "TX",
"postal_code": "756086137",
"telephone_number": "903-746-8775"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1102 BLUERIDGE PKWY",
"city": "LONGVIEW",
"state": "TX",
"postal_code": "756051908",
"telephone_number": "903-746-8775"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CAMPBELL",
"first_name": "KAREN",
"middle_name": "MICHELLE",
"name_prefix": "Mrs.",
"credential": "RNFA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-09-13",
"last_updated": "2011-03-23",
"status": "A"
},
"taxonomies": [
{
"code": "163WR0006X",
"taxonomy_group": "",
"desc": "Registered Nurse, Registered Nurse First Assistant",
"state": "TX",
"license": "677901",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "KAREN",
"last_name": "HANCOCK",
"middle_name": "MICHELLE",
"prefix": "MS.",
"credential": "RNFA",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Longview, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.