MRS. CORNELIA CAROLINA CAMPBELL APRN NPI 1861730509

NPI Information

NPI: 1861730509
Provider Name: MRS. CORNELIA CAROLINA CAMPBELL, APRN
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

Organization: GRACEMED HEALTH CLINIC INC

PECOS Registration: Yes

Address:
1400 SW HUNTOON ST
TOPEKA, KS
ZIP 66604
Phone: (785) 861-8800
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MRS. Cornelia Carolina Campbell, APRN is a family nurse practitioner in Topeka, KS with 12 years of experience. MRS. Cornelia Carolina Campbell, APRN NPI is 1861730509. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1400 SW HUNTOON ST
TOPEKA, KS
ZIP 66604-231
Phone: (785) 861-8800

The NPI 1861730509 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 1/30/2013 and was last updated on 12/2/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LF0000X	Nurse Practitioner	Family	53-75878-082	KANSAS	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	201072670B	MEDICAID	KANSAS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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