Individual provider Active NPI

Paula Campbell

  • Family Nurse Practitioner
  • Brooklyn, NY
National Provider Identifier
1801230362
Registry record updated May 15, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
337546 Issued in NY
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

Updated by the provider on May 15, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
337546NYMDFamily Nurse Practitioner

Interoperability endpoints

  • Direct secure messaging: 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.

Verify at the official NPI Registry.