Ebone Le Trice Campbell
Technician, Personal Care Attendant in Washington, DC. Individual provider (NPI-1).
NPI number1295367696
StatusActive
Last updated in NPPESFeb 4, 2020
Details
- NPI
- 1295367696
- Entity type
- Individual (NPI-1)
- Name
- Ebone Le Trice Campbell
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Feb 4, 2020
- Certification date
- Feb 4, 2020
- Last updated
- Feb 4, 2020
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 3747P1801X | Technician, Personal Care Attendant | 1995204 | DC | Yes |
Practice location
1711 Benning Rd Ne Apt F14Washington, DC 20002-7250
Phone 202-487-3413
Mailing address
1818 Alabama Ave SeWashington, DC 20020-2810
Phone 202-315-7846
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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