Active NPI
Laura J Campos, ARNP
- Family Nurse Practitioner
- Kennewick, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- AP60261498
- Practice address
- 4804 W Clearwater Ave
Kennewick, WA 99336 - Phone
- (509) 942-2235
- Fax
- (509) 222-2355
- NPI assigned
- Feb 2, 2012
- Last updated
- Apr 16, 2021
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | AP60261498 | WA | Primary |
| Licensed Practical Nurse | 164W00000X | AP60261498 | WA |
Addresses
Primary practice location
4804 W Clearwater Ave
Kennewick, WA 99336
Mailing address
4804 W Clearwater Ave
Kennewick, WA 99336-2119
Phone (509) 942-2355
Other practice location 1
4808 W Clearwater Ave
Kennewick, WA 99336-2119
Phone (509) 942-2355
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649542838 | Medicaid | WA |
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | lcampos1107041@wm.providencedirect.org | Direct | |
| Direct Messaging Address | lcampos1107041@wm.providencedirect.org | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
4804 W Clearwater Ave
Kennewick, WA 99336-2119
Phone (509) 942-2355
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AP60261498 | WA | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kadlec Regional Medical Center | Current | Accepting new patients | |
| Kadlec Regional Medical Center | Current | Accepting new patients | |
| Kadlec Regional Medical Center | Current | Accepting new patients |
Locations
1135 Jadwin Ave
Richland, WA 99352
Phone (509) 942-3300
550 Gage Blvd
Ste 101
Richland, WA 99352
888 Swift Blvd
Richland, WA 99352
Phone (509) 942-2115
Interoperability endpoints
- lcampos1107041@wm.providencedirect.org
Organizations & group practices 3
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.
-
- General Acute Care Hospital
- Richland, WA
- NPI 1972507580
-
- Plastic Surgery Physician
- Richland, WA
- NPI 1235471954
-
dba Kadlec Regional Medical Center - Rehab Unit
- Rehabilitation Hospital Unit
- Richland, WA
- NPI 1790319580
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1328140800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1618531200000",
"number": "1649542838",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4804 W CLEARWATER AVE",
"city": "KENNEWICK",
"state": "WA",
"postal_code": "993362119",
"telephone_number": "509-942-2355",
"fax_number": "509-222-1289"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4804 W CLEARWATER AVE",
"city": "KENNEWICK",
"state": "WA",
"postal_code": "99336",
"telephone_number": "509-942-2235",
"fax_number": "509-222-2355"
}
],
"practiceLocations": [
{
"address_1": "4808 W Clearwater Ave",
"address_purpose": "LOCATION",
"city": "Kennewick",
"state": "WA",
"postal_code": "993362119",
"country_code": "US",
"telephone_number": "509-942-2355",
"fax_number": "509-222-1289",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CAMPOS",
"first_name": "LAURA",
"middle_name": "J",
"credential": "ARNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-02-02",
"last_updated": "2021-04-16",
"certification_date": "2021-04-16",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "WA",
"license": "AP60261498",
"primary": true
},
{
"code": "164W00000X",
"taxonomy_group": "",
"desc": "Licensed Practical Nurse",
"state": "WA",
"license": "AP60261498",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1649542838",
"state": "WA"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "lcampos1107041@wm.providencedirect.org",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "4804 W Clearwater Ave",
"city": "Kennewick",
"state": "WA",
"country_code": "US",
"postal_code": "99336",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "lcampos1107041@wm.providencedirect.org",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "4808 W Clearwater Ave",
"city": "Kennewick",
"state": "WA",
"country_code": "US",
"postal_code": "993362119",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Kennewick, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.