Individual provider Active NPI

Camella Dawn Ladd, FNP-C

  • Family Nurse Practitioner
  • Amarillo, TX
National Provider Identifier
1952931693
Registry record updated Sep 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP144298 Issued in TX
Practice address
3501 S Soncy Rd Ste 150
Amarillo, TX 79119-6426
Phone
(806) 212-6353
Fax
(806) 212-0559
NPI assigned
Jan 22, 2020
Sex
Female
Sole proprietor
No

Organizations & group practices 3

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Bsa Physicians Group Inc 121 clinicians

Practice addresses (Care Compare)

4510 Bell St
Amarillo, TX 79109-5714
Phone (806) 212-4835

Hospital & facility affiliations

  • Bsa Hospital Hospital, Amarillo, TX, CCN 450231

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Medicare enrollment records 1

Medicare enrollment files
Enrollment IDStateProvider typePAC IDDetails
I20220829001939 TX Practitioner - Nurse Practitioner 4688094782 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
AP144298TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Bsa Physicians Group Inc CurrentSince Aug 22, 2022 Accepting new patients
Bsa Physicians Group Inc CurrentSince Aug 22, 2022 Accepting new patients
Lubbock Children'S Health Clinic PastSince Jan 1, 2020 Accepting new patients

Locations

1000 S Coulter St
Ste 200
Amarillo, TX 79106
Phone (806) 212-4535

3501 S Soncy Rd
Ste 150
Amarillo, TX 79119
Phone (806) 212-6353

1751 Wallace Blvd
Amarillo, TX 79106
Phone (806) 212-2129

4510 Bell St
Amarillo, TX 79109
Phone (806) 212-4835

Interoperability endpoints

  • Direct secure messaging: cladd769673@ahs.direct-ci.com
  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X AP144298 TX Primary

Addresses

NPPES NPI Registry

Primary practice location

3501 S Soncy Rd Ste 150
Amarillo, TX 79119-6426

Mailing address

PO Box 840026
Dallas, TX 75284-0026
Phone (806) 212-6353

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Sep 21, 2022.

{
    "created_epoch": "1579651200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663718400000",
    "number": "1952931693",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 840026",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752840026",
            "telephone_number": "806-212-6353",
            "fax_number": "806-212-0559"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3501 S SONCY RD STE 150",
            "city": "AMARILLO",
            "state": "TX",
            "postal_code": "791196426",
            "telephone_number": "806-212-6353",
            "fax_number": "806-212-0559"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LADD",
        "first_name": "CAMELLA",
        "middle_name": "DAWN",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-01-22",
        "last_updated": "2022-09-21",
        "certification_date": "2022-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP144298",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Amarillo, TX

Sources for this page

Verify at the official NPI Registry.