Active NPI
Kristine Campbell Willard
- Dental Hygienist
- Camp Lejuene, NC
National Provider Identifier
1801469044
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Hygienist
- License
- 02308
- Practice address
- 2D Denbn/NDC PSC 20130
315 McHugh Blvd
Camp Lejuene, NC 28542 - Phone
- (910) 451-2208
- NPI assigned
- Jul 23, 2021
- Last updated
- Jul 23, 2021
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Dental Hygienist | 124Q00000X | 02308 | NC | Primary |
Addresses
Primary practice location
2D Denbn/NDC PSC 20130
315 McHugh Blvd
Camp Lejuene, NC 28542
Mailing address
2D Denbn/NDC PSC 20130
315 McHugh Blvd
Camp Lejuene, NC 28542
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 02308 | NC | MD | Dental Hygienist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1626998400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1626998400000",
"number": "1801469044",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2D DENBN/NDC PSC 20130",
"address_2": "315 MCHUGH BLVD",
"city": "CAMP LEJUENE",
"state": "NC",
"postal_code": "28542"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2D DENBN/NDC PSC 20130",
"address_2": "315 MCHUGH BLVD",
"city": "CAMP LEJUENE",
"state": "NC",
"postal_code": "28542",
"telephone_number": "910-451-2208"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILLARD",
"first_name": "KRISTINE",
"middle_name": "CAMPBELL",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-07-23",
"last_updated": "2021-07-23",
"certification_date": "2021-06-25",
"status": "A"
},
"taxonomies": [
{
"code": "124Q00000X",
"taxonomy_group": "",
"desc": "Dental Hygienist",
"state": "NC",
"license": "02308",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Camp Lejuene, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.