Active NPI
Andrea Campbell
- Peer Specialist
- Oklahoma City, OK
National Provider Identifier
1679237366
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Peer Specialist
- Practice address
- 2617 General Pershing Blvd
Oklahoma City, OK 73107-6437 - Phone
- (405) 858-2700
- NPI assigned
- Oct 28, 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Peer Specialist | 175T00000X | Primary |
Addresses
Primary practice location
2617 General Pershing Blvd
Oklahoma City, OK 73107-6437
Mailing address
4510 N Asbury Ave
Bethany, OK 73008-2617
Phone (405) 764-5211
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| D082252630 | Other | OK | DRIVER LICENSE |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | campbellokla@gmail.com |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1635379200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1635379200000",
"number": "1679237366",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4510 N ASBURY AVE",
"city": "BETHANY",
"state": "OK",
"postal_code": "730082617",
"telephone_number": "405-764-5211"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2617 GENERAL PERSHING BLVD",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "731076437",
"telephone_number": "405-858-2700"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CAMPBELL",
"first_name": "ANDREA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-10-28",
"last_updated": "2021-10-28",
"certification_date": "2021-10-28",
"status": "A"
},
"taxonomies": [
{
"code": "175T00000X",
"taxonomy_group": "",
"desc": "Peer Specialist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DRIVER LICENSE",
"identifier": "D082252630",
"state": "OK"
}
],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "campbellokla@gmail.com",
"affiliation": "N",
"endpointDescription": "email",
"address_1": "2617 General Pershing Blvd",
"city": "Oklahoma City",
"state": "OK",
"country_code": "US",
"postal_code": "731076437",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Oklahoma City, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 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.