Individual provider Active NPI

Debra Lee Campo, MBA, MSN, RN

  • Diabetes Educator Registered Nurse
  • Providence, RI
National Provider Identifier
1972895506
Registry record updated May 16, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diabetes Educator Registered NurseTaxonomy code 163WD0400X
License
RN25280 Issued in RI
Practice address
2 Longwood Ave
Providence, RI 02908-1118
Phone
(401) 273-9188
NPI assigned
May 16, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 16, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diabetes Educator Registered Nurse 163WD0400X RN25280 RI Primary

Addresses

Primary practice location

2 Longwood Ave
Providence, RI 02908-1118

Mailing address

2 Longwood Avenue
Providence, RHODE ISLAND 02908
UM
Phone (401) 273-9188

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
Credentials
Master of Business Administration, Master of Science - Nursing, Registered Nurse

State licenses

LicenseStateTypeSpecialty
RN25280RIMDDiabetes Educator Registered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1305504000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1305504000000",
    "number": "1972895506",
    "addresses": [
        {
            "country_code": "UM",
            "country_name": "United States Minor Outlying Islands",
            "address_purpose": "MAILING",
            "address_type": "FGN",
            "address_1": "2 LONGWOOD AVENUE",
            "city": "PROVIDENCE",
            "state": "RHODE ISLAND",
            "postal_code": "02908",
            "telephone_number": "401-273-9188"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 LONGWOOD AVE",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029081118",
            "telephone_number": "401-273-9188"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAMPO",
        "first_name": "DEBRA",
        "middle_name": "LEE",
        "credential": "MBA, MSN, RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-05-16",
        "last_updated": "2011-05-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WD0400X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Diabetes Educator",
            "state": "RI",
            "license": "RN25280",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Providence, RI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.