{
"Npi": {
"NPI": "1881035889",
"EntityType": "Individual",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": "Y",
"IsOrgSubpart": null,
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": null,
"LastName": "CAMPO",
"FirstName": "RAY",
"MiddleName": "LEWIS",
"NamePrefix": "MR.",
"NameSuffix": "JR.",
"Credential": "FNP",
"OtherOrgName": null,
"OtherOrgNameTypeCode": null,
"OtherLastName": null,
"OtherFirstName": null,
"OtherMiddleName": null,
"OtherNamePrefix": null,
"OtherNameSuffix": null,
"OtherCredential": null,
"OtherLastNameTypeCode": null,
"FirstLineMailingAddress": "61159 W. SPRINGMILL DRIVE",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "LACOMBE",
"MailingAddressStateName": "LA",
"MailingAddressPostalCode": "70445",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "985-882-6739",
"MailingAddressFaxNumber": "985-882-6739",
"FirstLinePracticeLocationAddress": "61159 W SPRINGMILL DR",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "LACOMBE",
"PracticeLocationAddressStateName": "LA",
"PracticeLocationAddressPostalCode": "70445-3033",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "985-882-6739",
"PracticeLocationAddressFaxNumber": null,
"EnumerationDate": "07/08/2013",
"LastUpdateDate": "02/15/2026",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": "M",
"Gender": "Male",
"AuthorizedOfficialLastName": null,
"AuthorizedOfficialFirstName": null,
"AuthorizedOfficialMiddleName": null,
"AuthorizedOfficialTitle": null,
"AuthorizedOfficialNamePrefix": null,
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": null,
"AuthorizedOfficialTelephoneNumber": null,
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "363LF0000X",
"TaxonomyName": "Family Nurse Practitioner",
"LicenseNumber": "AP07349",
"LicenseNumberStateCode": "LA",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}