Individual provider Active NPI

Jessica Charlotte Campbell-Lewis, RN

  • Licensed Practical Nurse
  • Niagara Falls, NY
National Provider Identifier
1730417072
Registry record updated Dec 17, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Licensed Practical NurseTaxonomy code 164W00000X
License
299380-1 Issued in NY
Practice address
3680 Beechwood Cir
Niagara Falls, NY 14304-1482
Phone
(716) 523-6824
Fax
(716) 297-8260
NPI assigned
Nov 25, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 17, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Practical Nurse 164W00000X 299380-1 NY Primary
Registered Nurse 163W00000X 634745 NY

Addresses

Primary practice location

3680 Beechwood Cir
Niagara Falls, NY 14304-1482

Mailing address

3680 Beechwood Cir
Niagara Falls, NY 14304-1482
Phone (716) 523-6824

Other names 1

  • Miss Jessica Charlotte Campbell Former 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
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
634745NYMDRegistered Nurse
299380-1NYMDLicensed Practical Nurse

NPI Registry JSON

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

{
    "created_epoch": "1259107200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1355702400000",
    "number": "1730417072",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3680 BEECHWOOD CIR",
            "city": "NIAGARA FALLS",
            "state": "NY",
            "postal_code": "143041482",
            "telephone_number": "716-523-6824",
            "fax_number": "716-297-8260"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3680 BEECHWOOD CIR",
            "city": "NIAGARA FALLS",
            "state": "NY",
            "postal_code": "143041482",
            "telephone_number": "716-523-6824",
            "fax_number": "716-297-8260"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAMPBELL-LEWIS",
        "first_name": "JESSICA",
        "middle_name": "CHARLOTTE",
        "name_prefix": "Mrs.",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-11-25",
        "last_updated": "2012-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "NY",
            "license": "299380-1",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "634745",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JESSICA",
            "last_name": "CAMPBELL",
            "middle_name": "CHARLOTTE",
            "prefix": "MISS",
            "credential": "LPN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Niagara Falls, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2012; 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.