Active NPI
Courtney Nicole Camel, REGISTERED NURSE
- Addiction (Substance Use Disorder) Registered Nurse
- Cleveland, OH
National Provider Identifier
1902415102
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Registered Nurse
- License
- RN.473610
- Practice address
- 1127 Carnegie Ave
Cleveland, OH 44115-2805 - Phone
- (216) 861-4246
- NPI assigned
- Jul 24, 2020
- 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 |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Registered Nurse | 163WA0400X | RN.473610 | OH | Primary |
Addresses
Primary practice location
1127 Carnegie Ave
Cleveland, OH 44115-2805
Mailing address
2600 Packard Dr
Lorain, OH 44055-3843
Phone (440) 522-0993
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | ccamel@clevelandtreatmentcenter.org | Health Information Exchange (HIE) |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN.473610 | OH | MD | Addiction (Substance Use Disorder) Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ohio Bureau of Drug Abuse | Past | Accepting new patients | |
| Bureau of Drug Abuse,Cleveland Treatment Center,Inc. | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Substance Use Disorder Rehabilitation Clinic/Center
- Cleveland, OH
- NPI 1619934676
-
- Community/Behavioral Health Agency
- Cleveland, OH
- NPI 1073058137
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1595548800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1595548800000",
"number": "1902415102",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2600 PACKARD DR",
"city": "LORAIN",
"state": "OH",
"postal_code": "440553843",
"telephone_number": "440-522-0993"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1127 CARNEGIE AVE",
"city": "CLEVELAND",
"state": "OH",
"postal_code": "441152805",
"telephone_number": "216-861-4246"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CAMEL",
"first_name": "COURTNEY",
"middle_name": "NICOLE",
"credential": "REGISTERED NURSE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-07-24",
"last_updated": "2020-07-24",
"certification_date": "2020-07-24",
"status": "A"
},
"taxonomies": [
{
"code": "163WA0400X",
"taxonomy_group": "",
"desc": "Registered Nurse, Addiction (Substance Use Disorder)",
"state": "OH",
"license": "RN.473610",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "ccamel@clevelandtreatmentcenter.org",
"affiliation": "N",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "1127 Carnegie Ave",
"city": "Cleveland",
"state": "OH",
"country_code": "US",
"postal_code": "441152805",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Cleveland, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 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.