Organization Active NPI

Kamp Management, LLC

  • Family Nurse Practitioner
  • Calhoun, LA
National Provider Identifier
1881087682
Registry record updated Mar 18, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP05273 Issued in LA
Legal business name
KAMP MANAGEMENT, LLC
Practice address
240 Candy Craig Dr
Calhoun, LA 71225-8661
Phone
(318) 366-3039
Fax
(318) 325-6202
NPI assigned
Mar 18, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 18, 2015

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

Authorized official

Name
Mrs. Elizabeth M Phillips, NPNPI 1265623136
Title
Owner
Phone
(318) 366-3039

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LF0000X AP05273 LA Primary

Addresses

Primary practice location

240 Candy Craig Dr
Calhoun, LA 71225-8661

Mailing address

PO Box 463
Calhoun, LA 71225-0463
Phone (318) 366-3039

Other identifiers 1

IdentifierTypeStateIssuer
1014231MedicaidLA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20150507000320 LA Part B Supplier - Clinic/Group Practice 5890014203 Receives reassigned benefits from 1 practitioner
Practice locations: West Monroe, LA

National Provider Directory

National Provider Directory

Locations

1245 Glenwood Dr
West Monroe, LA 71291
Phone (318) 361-3878

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1426636800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1426636800000",
    "number": "1881087682",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 463",
            "city": "CALHOUN",
            "state": "LA",
            "postal_code": "712250463",
            "telephone_number": "318-366-3039",
            "fax_number": "318-325-6202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "240 CANDY CRAIG DR",
            "city": "CALHOUN",
            "state": "LA",
            "postal_code": "712258661",
            "telephone_number": "318-366-3039",
            "fax_number": "318-325-6202"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KAMP MANAGEMENT, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-03-18",
        "last_updated": "2015-03-18",
        "status": "A",
        "authorized_official_last_name": "PHILLIPS",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "318-366-3039",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "LA",
            "license": "AP05273",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1014231",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Calhoun, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.