NPIMap

Individual provider Active NPI

Rachel Davenport-Campbell, APRN

  • Family Nurse Practitioner
  • London, KY
National Provider Identifier
1710281399
Registry record updated Dec 3, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
3006693 Issued in KY
Practice address
192 London Shopping Ctr
Ste 2
London, KY 40741-3015
Phone
(606) 330-7370
Fax
(606) 330-7315
NPI assigned
Dec 22, 2010
Last updated
Dec 3, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 3, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 1102941 KY
Family Nurse Practitioner 363LF0000X 3006693 KY Primary

Addresses

Primary practice location

192 London Shopping Ctr
Ste 2
London, KY 40741-3015

Mailing address

4071 Tates Creek Centre Dr
Ste 202
Lexington, KY 40517-3094
Phone (606) 330-7370

Other identifiers 1

IdentifierTypeStateIssuer
7100215250MedicaidKY

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address rdavenportcampbell30950@bhkydirect.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120828000816 KY Practitioner - Nurse Practitioner 5294982187 Reassigns benefits to 1 organization

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
Baptist Health Medical Group IncGroup PAC ID 5597867184, 2,431 clinicians

Practice addresses (Care Compare)

793 Eastern Byp
Suite 213
Richmond, KY 40475-2440
Phone (859) 624-6501

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
94.29 of 100Reported as apm
Quality
87.32
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
1102941KYMDFamily Nurse Practitioner
3006693KYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Saint Joseph Health System, Inc. Past Accepting new patients
Saint Joseph Health System, Inc. Past Accepting new patients
Baptist Health Medical Group Inc Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: rdavenportcampbell30950@bhkydirect.com

Organizations & group practices 4

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.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1292976000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1606953600000",
    "number": "1710281399",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4071 TATES CREEK CENTRE DR",
            "address_2": "STE 202",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405173094",
            "telephone_number": "606-330-7370",
            "fax_number": "606-330-7315"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "192 LONDON SHOPPING CTR",
            "address_2": "STE 2",
            "city": "LONDON",
            "state": "KY",
            "postal_code": "407413015",
            "telephone_number": "606-330-7370",
            "fax_number": "606-330-7315"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVENPORT-CAMPBELL",
        "first_name": "RACHEL",
        "name_prefix": "Mrs.",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-12-22",
        "last_updated": "2020-12-03",
        "certification_date": "2020-12-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KY",
            "license": "1102941",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KY",
            "license": "3006693",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100215250",
            "state": "KY"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "rdavenportcampbell30950@bhkydirect.com",
            "affiliation": "N",
            "address_1": "793 Eastern Byp Ste 216",
            "city": "Richmond",
            "state": "KY",
            "country_code": "US",
            "postal_code": "404752443",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in London, KY

Sources for this page

Verify at the official NPI Registry.