Active NPI
Alexis Campbell
- Case Manager/Care Coordinator
- Washington, DC
National Provider Identifier
1700639689
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Case Manager/Care Coordinator
- Practice address
- 4660 Martin Luther King Jr Ave SW Ste a-1A3
Washington, DC 20032-4933 - Phone
- (202) 318-0179
- Fax
- (202) 580-8959
- NPI assigned
- Apr 9, 2024
- 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 |
|---|---|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | Primary |
Addresses
Primary practice location
4660 Martin Luther King Jr Ave SW Ste a-1A3
Washington, DC 20032-4933
Mailing address
4660 Martin Luther King Jr Ave SW Ste a-1A3
Washington, DC 20032-4933
Phone (202) 318-0179
Other names 1
- Alexis Campbell
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wellness Healthcare Clinics. LLC | Current | Accepting new patients |
Locations
4660 Martin Luther King Jr Ave SW
Ste A1
Washington, DC 20032
Phone (202) 310-0179
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 and National Provider Directory roles.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Washington, DC
- NPI 1417432733
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1712620800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1712620800000",
"number": "1700639689",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4660 MARTIN LUTHER KING JR AVE SW STE A-1A3",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "200324933",
"telephone_number": "202-318-0179",
"fax_number": "202-580-8959"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4660 MARTIN LUTHER KING JR AVE SW STE A-1A3",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "200324933",
"telephone_number": "202-318-0179",
"fax_number": "202-580-8959"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CAMPBELL",
"first_name": "ALEXIS",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-04-09",
"last_updated": "2024-04-09",
"certification_date": "2024-04-09",
"status": "A"
},
"taxonomies": [
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "ALEXIS",
"last_name": "CAMPBELL",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in Washington, DC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.