Individual provider Active NPI

Alexis Campbell

  • Case Manager/Care Coordinator
  • Washington, DC
National Provider Identifier
1700639689
Registry record updated Apr 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Manager/Care CoordinatorTaxonomy code 171M00000X
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

Updated by the provider on Apr 9, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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 Professional name

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

OrganizationSpecialtyStatusNew patients
Wellness Healthcare Clinics. LLC CurrentSince Apr 14, 2024 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.

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.

Verify at the official NPI Registry.