Active NPI
Jessica Charlotte Campbell-Lewis, RN
- Licensed Practical Nurse
- Niagara Falls, NY
National Provider Identifier
1730417072
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Licensed Practical Nurse
- License
- 299380-1
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 634745 | NY | MD | Registered Nurse |
| 299380-1 | NY | MD | Licensed 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.