Active NPI
Nathalie A Campbell
- Endocrinology, Diabetes & Metabolism Physician
- Warwick, RI
National Provider Identifier
1609872399
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Endocrinology, Diabetes & Metabolism Physician
- License
- MD10234
- Practice address
- 28 Edmond Dr
Warwick, RI 02886-8520 - Phone
- (401) 474-3978
- NPI assigned
- Jun 27, 2005
- Last updated
- Nov 18, 2021
- 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 |
|---|---|---|---|---|
| Endocrinology, Diabetes & Metabolism Physician | 207RE0101X | MD10234 | RI | Primary |
Addresses
Primary practice location
28 Edmond Dr
Warwick, RI 02886-8520
Mailing address
28 Edmond Dr
Warwick, RI 02886-8520
Phone (401) 474-3978
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609872 | Medicaid | RI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in RI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD10234 | RI | MD | Endocrinology, Diabetes & Metabolism Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Signify Health Medical Associates, PLLC | Current | Accepting new patients |
Locations
270 Bellevue Ave
Newport, RI 02840
Phone (203) 843-2264
4055 Valley View Ln
Ste 700
Dallas, TX 75244
Phone (469) 466-7420
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1119830400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1637193600000",
"number": "1609872399",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "28 EDMOND DR",
"city": "WARWICK",
"state": "RI",
"postal_code": "028868520",
"telephone_number": "401-474-3978"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "28 EDMOND DR",
"city": "WARWICK",
"state": "RI",
"postal_code": "028868520",
"telephone_number": "401-474-3978"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CAMPBELL",
"first_name": "NATHALIE",
"middle_name": "A",
"name_prefix": "Dr.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2005-06-27",
"last_updated": "2021-11-18",
"certification_date": "2021-11-18",
"status": "A"
},
"taxonomies": [
{
"code": "207RE0101X",
"taxonomy_group": "",
"desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
"state": "RI",
"license": "MD10234",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1609872",
"state": "RI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Warwick, RI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2021; 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.