Active NPI
Paula Campbell
- Family Nurse Practitioner
- Brooklyn, NY
National Provider Identifier
1801230362
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 337546
- Practice address
- 6010 Bay Pkwy Ste 901
Brooklyn, NY 11204-6081 - Phone
- (718) 238-2100
- Fax
- (718) 748-0863
- NPI assigned
- Apr 26, 2013
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 337546 | NY | Primary |
Addresses
Primary practice location
6010 Bay Pkwy Ste 901
Brooklyn, NY 11204-6081
Mailing address
24001 Weller Ave
Rosedale, NY 11422-2315
Phone (347) 330-1729
Other practice location 1
24001 Weller Ave
Rosedale, NY 11422-2315
Phone (347) 330-1729
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)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 337546 | NY | MD | Family Nurse Practitioner |
Interoperability endpoints
- paula.campbell.1@24989.direct.athenahealth.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1366934400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1557878400000",
"number": "1801230362",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "24001 WELLER AVE",
"city": "ROSEDALE",
"state": "NY",
"postal_code": "114222315",
"telephone_number": "347-330-1729"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6010 BAY PKWY STE 901",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112046081",
"telephone_number": "718-238-2100",
"fax_number": "718-748-0863"
}
],
"practiceLocations": [
{
"address_1": "24001 Weller Ave",
"address_purpose": "LOCATION",
"city": "Rosedale",
"state": "NY",
"postal_code": "114222315",
"country_code": "US",
"telephone_number": "347-330-1729",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CAMPBELL",
"first_name": "PAULA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-04-26",
"last_updated": "2019-05-15",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "NY",
"license": "337546",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Brooklyn, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.