Active NPI
John Campbell
- Registered Nurse
- Huber Heights, OH
National Provider Identifier
1679873061
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- RN236325
- Practice address
- 6468 Shull Rd
Huber Heights, OH 45424-1237 - Phone
- (937) 648-8009
- NPI assigned
- Nov 1, 2010
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | RN236325 | OH | Primary |
| Critical Care Medicine Registered Nurse | 163WC0200X | RN236325 | OH | |
| Flight Registered Nurse | 163WF0300X | RN236325 | OH |
Addresses
Primary practice location
6468 Shull Rd
Huber Heights, OH 45424-1237
Mailing address
6468 Shull Rd
Huber Heights, OH 45424-1237
Phone (937) 648-8009
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 |
|---|---|---|---|
| RN236325 | OH | MD | Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1288569600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1288569600000",
"number": "1679873061",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6468 SHULL RD",
"city": "HUBER HEIGHTS",
"state": "OH",
"postal_code": "454241237",
"telephone_number": "937-648-8009"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6468 SHULL RD",
"city": "HUBER HEIGHTS",
"state": "OH",
"postal_code": "454241237",
"telephone_number": "937-648-8009"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CAMPBELL",
"first_name": "JOHN",
"name_prefix": "Mr.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2010-11-01",
"last_updated": "2010-11-01",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "OH",
"license": "RN236325",
"primary": true
},
{
"code": "163WC0200X",
"taxonomy_group": "",
"desc": "Registered Nurse, Critical Care Medicine",
"state": "OH",
"license": "RN236325",
"primary": false
},
{
"code": "163WF0300X",
"taxonomy_group": "",
"desc": "Registered Nurse, Flight",
"state": "OH",
"license": "RN236325",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Huber Heights, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.