Active NPI
Lucinda Campbell
- Ambulatory Care Registered Nurse
- Wellpinit, WA
National Provider Identifier
1730225632
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulatory Care Registered Nurse
- License
- RN00119077
- Practice address
- 6203 Agency Loop
Wellpinit, WA 99040-0357 - Phone
- (509) 258-4517
- NPI assigned
- Jan 29, 2007
- 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 |
|---|---|---|---|---|
| Ambulatory Care Registered Nurse | 163WP2201X | RN00119077 | WA | Primary |
Addresses
Primary practice location
6203 Agency Loop
Wellpinit, WA 99040-0357
Mailing address
6203 Agency Loop
PO Box 357
Wellpinit, WA 99040-0357
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 |
|---|---|---|---|
| RN00119077 | WA | MD | Ambulatory Care Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170028800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1730225632",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6203 AGENCY LOOP",
"address_2": "PO BOX 357",
"city": "WELLPINIT",
"state": "WA",
"postal_code": "990400357"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6203 AGENCY LOOP",
"city": "WELLPINIT",
"state": "WA",
"postal_code": "990400357",
"telephone_number": "509-258-4517"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CAMPBELL",
"first_name": "LUCINDA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-01-29",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "163WP2201X",
"taxonomy_group": "",
"desc": "Registered Nurse, Ambulatory Care",
"state": "WA",
"license": "RN00119077",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Wellpinit, WA
- Linda M Anderson, CDP
- Trina Dee Andrew
- Elima Bird, CDP
- Shayne Philip Blevins, NP-C
- Mariah Brigman
- Trevor James Crossley, PHARMD
- Ann Christine Dahl, CDP
- David C Wynecoop Memorial Clinic
- David C Wynecoop Memorial Clinic DHHS IHS Wellpinit Service Unit
- David C Wynecoop Memorial Clinic DHHS IHS Wellpinit Service Unit
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.