Active NPI
Nancy Ann Campbell
- Professional Counselor
- Midland, TX
National Provider Identifier
1881605707
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 16094
- Practice address
- 10008 W County Road 116
Midland, TX 79706-2615 - Phone
- (432) 563-4144
- Fax
- (432) 561-8611
- NPI assigned
- Aug 10, 2006
- Last updated
- Jul 9, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 16094 | TX | Primary |
Addresses
Primary practice location
10008 W County Road 116
Midland, TX 79706-2615
Mailing address
PO Box 60312
Midland, TX 79711-0312
Phone (432) 563-4144
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 127330 | Other | TX | HEALTH PLAN |
| 84419L | Other | TX | INDIV BCBS |
Other names 1
- Nancy Ann Waterman
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)
- Not enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Samaritan Counseling Center of West Texas Inc | Past | Accepting new patients |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Public Health or Welfare Agency
- Midland, TX
- NPI 1306881792
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155168000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1881605707",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 60312",
"city": "MIDLAND",
"state": "TX",
"postal_code": "797110312",
"telephone_number": "432-563-4144",
"fax_number": "432-561-8611"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10008 W COUNTY ROAD 116",
"city": "MIDLAND",
"state": "TX",
"postal_code": "797062615",
"telephone_number": "432-563-4144",
"fax_number": "432-561-8611"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CAMPBELL",
"first_name": "NANCY",
"middle_name": "ANN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-10",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "TX",
"license": "16094",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTH PLAN",
"identifier": "127330",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "INDIV BCBS",
"identifier": "84419L",
"state": "TX"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "NANCY",
"last_name": "WATERMAN",
"middle_name": "ANN",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Midland, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.