Active NPI
Sara Sloan Campbell, LMP
- Specialist
- University Place, WA
National Provider Identifier
1942363619
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- MA00012279
- Practice address
- 8404 27TH St W
University Place, WA 98466-2723 - Phone
- (253) 226-5228
- Fax
- (253) 761-4344
- NPI assigned
- Dec 17, 2006
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Specialist | 174400000X | MA00012279 | WA | Primary |
Addresses
Primary practice location
8404 27TH St W
University Place, WA 98466-2723
Mailing address
1702 N Pine St
Tacoma, WA 98406-7026
Phone (253) 756-1169
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 |
|---|---|---|---|
| MA00012279 | WA | MD | Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1166313600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1942363619",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1702 N PINE ST",
"city": "TACOMA",
"state": "WA",
"postal_code": "984067026",
"telephone_number": "253-756-1169",
"fax_number": "253-761-4344"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8404 27TH ST W",
"city": "UNIVERSITY PLACE",
"state": "WA",
"postal_code": "984662723",
"telephone_number": "253-226-5228",
"fax_number": "253-761-4344"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CAMPBELL",
"first_name": "SARA",
"middle_name": "SLOAN",
"name_prefix": "Ms.",
"credential": "LMP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-12-17",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "WA",
"license": "MA00012279",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in University Place, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.