Pearline Lacha Campbell

Primary specialty

Peer SpecialistTaxonomy code 175T00000X

Practice address

8515 NE 25TH St
Spencer, OK 73084-3818

Phone

(405) 796-7010

NPI assigned

Jan 17, 2020

Last updated

Jan 17, 2020By 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

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

{
    "created_epoch": "1579219200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1579219200000",
    "number": "1821628868",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5505 MAIN ST STE 103",
            "city": "DEL CITY",
            "state": "OK",
            "postal_code": "731155508",
            "telephone_number": "405-796-7010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8515 NE 25TH ST",
            "city": "SPENCER",
            "state": "OK",
            "postal_code": "730843818",
            "telephone_number": "405-796-7010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAMPBELL",
        "first_name": "PEARLINE",
        "middle_name": "LACHA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-01-17",
        "last_updated": "2020-01-17",
        "certification_date": "2020-01-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "175T00000X",
            "taxonomy_group": "",
            "desc": "Peer Specialist",
            "state": "OK",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gina C. Bostick, D.D.S.
• Tiffany Jekara Bowen
• Shameka L Boyd
• Daniell Monique Brown, MSW-U/S
• Frank Cecil Calvin
• Candid Network, Inc.
• Christian Carr
• Clarissa M Wright LPC PLLC
• Mariah D. Colbert, RN
• Community Health Centers, Inc.

• Peer Specialist in Spencer, OK
• Providers in Spencer, OK by specialty
• Peer Specialist in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2020; 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.