Amy Campbell

Primary specialty

Emotionally Disturbed Childrens' Residential Treatment FacilityTaxonomy code 322D00000X

Practice address

HC 34 Box 34165
Ely, NV 89301-9206

Phone

(775) 238-5100

Fax

(775) 238-5103

NPI assigned

May 28, 2013

Last updated

May 28, 2013By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• White Pine Boys Ranch, LLC

  dba Home on the Range Youth Ranch

  • Emotionally Disturbed Childrens' Residential Treatment Facility
  • Ely, NV
  • NPI 1437595568

  Residential Treatment Facility, Emotionally Disturbed Children

  NPD (past)

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

{
    "created_epoch": "1369699200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1369699200000",
    "number": "1750728085",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "HC 34 BOX 34165",
            "city": "ELY",
            "state": "NV",
            "postal_code": "893019206",
            "telephone_number": "775-238-5100",
            "fax_number": "775-238-5103"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "HC 34 BOX 34165",
            "city": "ELY",
            "state": "NV",
            "postal_code": "893019206",
            "telephone_number": "775-238-5100",
            "fax_number": "775-238-5103"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAMPBELL",
        "first_name": "AMY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-05-28",
        "last_updated": "2013-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "322D00000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Emotionally Disturbed Children",
            "state": "NV",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lorie M. Brackbill
• Casey Ann-Taylor Brewer, LCSW
• Donna Lynn Bunch
• Roxanne G Bybee, APRN
• David Byun, DO
• Matthew R Carter, MSW, CSW INTERN
• Casey Brewer, LCSW, LLC
• Jodie Lynn Chlouber
• City of Ely (City of Ely Fire Department)
• Teresa Lynne Clark, RN

• Emotionally Disturbed Childrens' Residential Treatment Facility in Ely, NV
• Providers in Ely, NV by specialty
• Emotionally Disturbed Childrens' Residential Treatment Facility in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 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.