Nicole Campbell

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

317710 Issued in NY

Practice address

1460 Route 9W
Marlboro, NY 12542

Phone

(845) 857-8852

NPI assigned

Nov 3, 2015

Last updated

May 23, 2018By the provider in NPPES

Sex

Female

Sole proprietor

No

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

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

{
    "created_epoch": "1446508800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1527033600000",
    "number": "1821461534",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1460 ROUTE 9W",
            "city": "MARLBORO",
            "state": "NY",
            "postal_code": "125425425",
            "telephone_number": "845-857-8852"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1460 ROUTE 9W",
            "city": "MARLBORO",
            "state": "NY",
            "postal_code": "12542",
            "telephone_number": "845-857-8852"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8 Plattekill Rd",
            "address_purpose": "LOCATION",
            "city": "Marlboro",
            "state": "NY",
            "postal_code": "125426022",
            "country_code": "US",
            "telephone_number": "845-857-8852",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CAMPBELL",
        "first_name": "NICOLE",
        "name_prefix": "Ms.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-11-03",
        "last_updated": "2018-05-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "NY",
            "license": "317710",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Licensed Practical Nurse in Marlboro, NY
• Providers in Marlboro, NY by specialty
• Licensed Practical Nurse in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2018; 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.