Debra L Campbell, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA10004981 Issued in WA

Practice address

6981 Littlerock Rd SW
Suite 101
Tumwater, WA 98512-7226

Phone

(360) 943-3633

NPI assigned

Apr 20, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Debra L Campbell Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

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.

• Harkness Medical Group, PLLC

  • Family Medicine Physician
  • Olympia, WA
  • NPI 1215518113
  NPD (past)
• Littlerock Family Medicine, P.S.

  • Family Medicine Physician
  • Tumwater, WA
  • NPI 1689994527
  NPD (past)

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

{
    "created_epoch": "1177027200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1365033600000",
    "number": "1730306457",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6981 LITTLEROCK RD SW # WW",
            "city": "TUMWATER",
            "state": "WA",
            "postal_code": "985127226",
            "telephone_number": "360-943-3633"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6981 LITTLEROCK RD SW",
            "address_2": "SUITE 101",
            "city": "TUMWATER",
            "state": "WA",
            "postal_code": "985127226",
            "telephone_number": "360-943-3633"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAMPBELL",
        "first_name": "DEBRA",
        "middle_name": "L",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-20",
        "last_updated": "2013-04-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "WA",
            "license": "PA10004981",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTAN",
            "identifier": "G8895283",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DEBRA",
            "last_name": "CAMPBELL",
            "middle_name": "L",
            "credential": "PA-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• C.H.I.R.O. Health Center PC
• Brittney Renee Caba
• Dawson B Cabbage, CRNA
• Joni Cagwin
• Amanda Jean Callahan
• Capital Medical Center Physicians LLC
• Matthew Stuart Carey, PA-C
• Diana Carlson, MA
• Randall James Carpio Jr.
• Gabriela Carranza

• Physician Assistant in Tumwater, WA
• Providers in Tumwater, WA by specialty
• Physician Assistant in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2013; 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.