NPI Code Detail JSON Logo

1942178165 NPI number — HOLLIE AND BRYON CAMPBELL NP IN PEDIATRICS AND PA PLLC

NPI Number: 1942178165
Health Care Provider/Practitioner: HOLLIE AND BRYON CAMPBELL NP IN PEDIATRICS AND PA PLLC

Information about “1942178165” NPI (HOLLIE AND BRYON CAMPBELL NP IN PEDIATRICS AND PA PLLC) exists in 1942178165 in HTML format HTML  |  1942178165 in plain Text format TXT  |  1942178165 in PDF (Portable Document Format) PDF  |  1942178165 in an XML format XML  formats.

NPI Number : 1942178165 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1942178165",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "HOLLIE AND BRYON CAMPBELL NP IN PEDIATRICS AND PA PLLC",
    "LastName": null,
    "FirstName": null,
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "7 TEFT AVE",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "CLIFTON SPRINGS",
    "MailingAddressStateName": "NY",
    "MailingAddressPostalCode": "14432-1120",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "585-260-2016",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "60 BARRETT DR",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "WEBSTER",
    "PracticeLocationAddressStateName": "NY",
    "PracticeLocationAddressPostalCode": "14580-2963",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "585-872-1003",
    "PracticeLocationAddressFaxNumber": "585-872-1004",
    "EnumerationDate": "10/28/2025",
    "LastUpdateDate": "10/28/2025",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "CAMPBELL",
    "AuthorizedOfficialFirstName": "HOLLIE",
    "AuthorizedOfficialMiddleName": "ELIZABETH",
    "AuthorizedOfficialTitle": "OWNER, NP",
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": "NP",
    "AuthorizedOfficialTelephoneNumber": "585-872-1003",
    "Taxonomies": {
      "Taxonomy": [
        {
          "TaxonomyCode": "363A00000X",
          "TaxonomyName": "Physician Assistant",
          "LicenseNumber": null,
          "LicenseNumberStateCode": null,
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "363LP0200X",
          "TaxonomyName": "Pediatric Nurse Practitioner",
          "LicenseNumber": null,
          "LicenseNumberStateCode": null,
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "261Q00000X",
          "TaxonomyName": "Clinic/Center",
          "LicenseNumber": null,
          "LicenseNumberStateCode": null,
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": {
      "HealthcareProviderTaxonomyGroup": [
        {
          "HealthcareProviderTaxonomyGroupName": "193200000X MULTI-SPECIALTY GROUP",
          "HealthcareProviderTaxonomyGroupDescription": "Multi-Specialty Group - A business group of one or more individual practitioners, who practice with different areas of specialization."
        },
        {
          "HealthcareProviderTaxonomyGroupName": "193200000X MULTI-SPECIALTY GROUP",
          "HealthcareProviderTaxonomyGroupDescription": "Multi-Specialty Group - A business group of one or more individual practitioners, who practice with different areas of specialization."
        }
      ]
    }
  }
}
                
            

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