Durell Campbell, AGENCY AFFILIATION

Primary specialty

Obesity Medicine (Family Medicine) PhysicianTaxonomy code 207QB0002X

License

CG61320661 Issued in WA

Practice address

216 James St
Seattle, WA 98104-5102

Phone

(206) 464-6454

NPI assigned

May 26, 2023

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1685059200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1685059200000",
    "number": "1710670773",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9624 RENTON AVE S",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981185720",
            "telephone_number": "206-581-4945"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "216 JAMES ST",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981045102",
            "telephone_number": "206-464-6454"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAMPBELL",
        "first_name": "DURELL",
        "credential": "AGENCY AFFILIATION",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-05-26",
        "last_updated": "2023-05-26",
        "certification_date": "2023-05-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QB0002X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Obesity Medicine",
            "state": "WA",
            "license": "CG61320661",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Clinton Jay Campbell, LMHCA
• Cynthia Grant Campbell, MD
• Dana Campbell, LMHC
• Darcy Campbell, MD
• Donna Dianne Campbell, MA, NAR, HCA
• Elisa Clarice Campbell, MSW, LSWAIC
• Elise B Campbell
• Erika Juliet Campbell, ED.D, MA, LMHC
• Floyd Vance Campbell, PBT
• Hilda Campbell, PHD

• Obesity Medicine (Family Medicine) Physician in Seattle, WA
• Providers in Seattle, WA by specialty
• Obesity Medicine (Family Medicine) Physician in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2023; 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.