Cullen Lee Campbell, L.S.A.

Primary specialty

Surgical AssistantTaxonomy code 246ZC0007X

License

SA00109 Issued in TX

Practice address

3502 9TH St Ste 260
Lubbock, TX 79415-5305

Phone

(806) 792-8185

Fax

(806) 792-9180

NPI assigned

Jul 17, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Interoperability endpoints

• Direct secure messaging: cullen.campbell@direct.myteamcare.com

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

{
    "created_epoch": "1184630400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616025600000",
    "number": "1861691115",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5219 CITY BANK PKWY STE 35",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794073545",
            "telephone_number": "806-761-0333",
            "fax_number": "806-792-9180"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3502 9TH ST STE 260",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794155305",
            "telephone_number": "806-792-8185",
            "fax_number": "806-792-9180"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4408 6th St",
            "address_purpose": "LOCATION",
            "city": "Lubbock",
            "state": "TX",
            "postal_code": "794164732",
            "country_code": "US",
            "telephone_number": "806-792-8185",
            "fax_number": "806-792-9180",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CAMPBELL",
        "first_name": "CULLEN",
        "middle_name": "LEE",
        "name_prefix": "Mr.",
        "credential": "L.S.A.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-07-17",
        "last_updated": "2021-03-18",
        "certification_date": "2021-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "246XC2903X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist Cardiovascular, Vascular Specialist",
            "state": "TX",
            "license": "SA00109",
            "primary": false
        },
        {
            "code": "246ZC0007X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Other, Surgical Assistant",
            "state": "TX",
            "license": "SA00109",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FIRST CARE",
            "identifier": "109783100",
            "state": null
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "cullen.campbell@direct.myteamcare.com",
            "affiliation": "Y",
            "affiliationName": "UMC Physicians",
            "address_1": "3502 9th St Ste 260",
            "city": "Lubbock",
            "state": "TX",
            "country_code": "US",
            "postal_code": "794155305",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• James Thomas Cammack, MD
• Andrea Camp, BCBA,LBA
• Tammy Michelle Camp, MD
• Caroline Sarah Campbell
• Cory Campbell, LPC
• Drew McIntire Campbell, MD
• Kelly Michelle Campbell, PHYSICAL THERAPIST
• Kenneth Campbell Jr., CSA,SA-C,LSA
• Samuel J. Campbell, M.D.
• Stacy Campbell

• Surgical Assistant in Lubbock, TX
• Providers in Lubbock, TX by specialty
• Surgical Assistant in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 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.