Individual provider Active NPI

Laurel Campbell

  • Diagnostic Ultrasound Physician
  • Durango, CO
National Provider Identifier
1851990493
Registry record updated Jan 21, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Ultrasound PhysicianTaxonomy code 2085U0001X
License
70724 Issued in CO
Practice address
270 E 8TH Ave Ste 204
Durango, CO 81301-5708
Phone
(970) 247-7997
NPI assigned
Oct 24, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 21, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Ultrasound Physician 2085U0001X 70724 CO Primary

Addresses

Primary practice location

270 E 8TH Ave Ste 204
Durango, CO 81301-5708

Mailing address

270 E 8TH Ave Ste 204
Durango, CO 81301-5708

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

State licenses

LicenseStateTypeSpecialty
70724COMDDiagnostic Ultrasound Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Durango Ultrasound Diagnostic Ultrasound CurrentSince Jan 1, 2021 Accepting new patients

Locations

270 E 8th Ave
Ste 201
Durango, CO 81301
Phone (970) 247-7997

270 E 8th Ave
Ste 204
Durango, CO 81301
Phone (970) 247-7997

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1603497600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611187200000",
    "number": "1851990493",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "270 E 8TH AVE STE 204",
            "city": "DURANGO",
            "state": "CO",
            "postal_code": "813015708"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "270 E 8TH AVE STE 204",
            "city": "DURANGO",
            "state": "CO",
            "postal_code": "813015708",
            "telephone_number": "970-247-7997"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAMPBELL",
        "first_name": "LAUREL",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-10-24",
        "last_updated": "2021-01-21",
        "certification_date": "2021-01-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085U0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Ultrasound",
            "state": "CO",
            "license": "70724",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Durango, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 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.

Verify at the official NPI Registry.